Provider Demographics
NPI:1730699224
Name:BREWER ROSS, ERIN R (PA)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:R
Last Name:BREWER ROSS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 3889
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37602-3889
Mailing Address - Country:US
Mailing Address - Phone:423-794-2457
Mailing Address - Fax:423-283-9480
Practice Address - Street 1:303 MED TECH PKWY STE 100
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2392
Practice Address - Country:US
Practice Address - Phone:423-282-5611
Practice Address - Fax:423-282-5712
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2021-08-19
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Provider Licenses
StateLicense IDTaxonomies
TN4508363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant