Gross, Jessie Enrique

Gross, Jessie Enrique is an individual health care provider with primary practice located at 220 Hovey Rd Fl 1047 , Pensacola FL 32508-1047. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gross, Jessie Enrique can be contacted via phone (619) 339-2536.

Contact Information

Primary practice address
220 Hovey Rd Fl 1047 Pensacola FL 32508-1047
Phone: (619) 339-2536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 13618 California

Profile Details

NPI number 1437204948
LBN Legal business name Gross, Jessie Enrique
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Mar 31st, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437204948 NPPES
California Other 13618 STATE LICENSE

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