Gross, Nyesha
Gross, Nyesha is an individual health care provider with primary practice located at 2500 Rike Dr , Pine Bluff AR 71603-3937. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gross, Nyesha can be contacted via phone (870) 534-1834.Contact Information
Primary practice address
2500 Rike Dr
Pine Bluff AR 71603-3937
Phone: (870) 534-1834
Fax: (870) 534-5798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1124409180 |
|---|---|
| LBN Legal business name | Gross, Nyesha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2015 |
| Last updated | Jun 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124409180 | NPPES |
| Arkansas | MEDICAID | 116378726 |
Popular Providers
-
Curl, Tanesha
620 S Laurel St , Pine Bluff AR 71601-4859 -
Johnson, Chiquita
2500 Rike Dr , Pine Bluff AR 71603-3937 -
Spadoni, Anja
2500 Rike Dr , Pine Bluff AR 71603-3937 -
Shavers, Jazzmine
620 S Laurel St , Pine Bluff AR 71601-4859 -
Harmon, Rene'
2500 Rike Dr , Pine Bluff AR 71603-3937 -
Brown, Kimberly R
2500 Rike Dr , Pine Bluff AR 71603-3937 -
Washington, Quaninika
2901 S Hemlock St , Pine Bluff AR 71603-4783 -
Brown-Irby, Shawonda
620 S Laurel St , Pine Bluff AR 71601-4859