IndividualActive
Joketha Ross, RN-BSN
NPI 1720814809 · Psychiatric/Mental Health Registered Nurse · Cannon Afb, NM
Provider details
- NPI number
- 1720814809
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN-BSN
- Sex
- Female
- Sole proprietor
- No
- License
- 78308 (NM)
Specialties & taxonomies
Nursing Service Providers
Practice location
224 W D.l. Ingram Avenue, Bldg. 1408
Cannon Afb, NM 88103
Phone: (575) 904-4282
Approximate (ZIP-level) locationGet directions
Mailing address
224 W D.l. Ingram Avenue, Bldg. 1408
Cannon Afb, NM 88103
Registry dates
- Enumerated
- 2024-09-13
- Last updated
- 2024-09-13
- Certified
- 2024-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.