Gossom, Nissa J
Gossom, Nissa J is an individual health care provider with primary practice located at 1611 Pond Rd Suite 401, Allentown PA 18104-2258. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gossom, Nissa J can be contacted via phone (610) 398-7700.Contact Information
Primary practice address
1611 Pond Rd Suite 401
Allentown PA 18104-2258
Phone: (610) 398-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | MW010224 | Pennsylvania |
Profile Details
| NPI number | 1659680130 |
|---|---|
| LBN Legal business name | Gossom, Nissa J |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2010 |
| Last updated | Dec 18th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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