Provider Demographics
NPI:1447938139
Name:TAPLEY, ROSS JORDAN (PMHNP)
Entity type:Individual
Prefix:
First Name:ROSS
Middle Name:JORDAN
Last Name:TAPLEY
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 W POPLAR AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-2577
Mailing Address - Country:US
Mailing Address - Phone:901-446-0226
Mailing Address - Fax:901-422-5409
Practice Address - Street 1:1011 W POPLAR AVE STE 7
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-2577
Practice Address - Country:US
Practice Address - Phone:901-446-0226
Practice Address - Fax:901-422-5409
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34105363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health