Provider Demographics
NPI:1700079498
Name:ROSSON, JAN (D PH)
Entity type:Individual
Prefix:
First Name:JAN
Middle Name:
Last Name:ROSSON
Suffix:
Gender:F
Credentials:D PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 FIELDSTONE PKWY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-4336
Mailing Address - Country:US
Mailing Address - Phone:615-591-5828
Mailing Address - Fax:
Practice Address - Street 1:1509 MURFREESBORO RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5027
Practice Address - Country:US
Practice Address - Phone:615-595-1853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-25
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist