Gross, Kimberly Johnson
Gross, Kimberly Johnson is an individual health care provider with primary practice located at 348 Crossgates Blvd Ste 1500 , Brandon MS 39042-2687. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gross, Kimberly Johnson can be contacted via phone (601) 824-2236.Contact Information
Primary practice address
348 Crossgates Blvd Ste 1500
Brandon MS 39042-2687
Phone: (601) 824-2236
Fax: (601) 825-2699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 875256 | Mississippi |
Profile Details
| NPI number | 1801368741 |
|---|---|
| LBN Legal business name | Gross, Kimberly Johnson |
| Credentials | FNP, PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2018 |
| Last updated | Mar 2nd, 2023 - about 3 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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