Jessica Elizabeth Gross

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Perkasie, PA

NPI 1154861813 · NPPES record last updated Feb 28, 2017

Key facts

NPI
1154861813
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2390 E Rock Rd
Perkasie, PA 18944-2002
Phone
(215) 257-8020
NPI assigned
Feb 28, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2390 E Rock Rd
Perkasie, PA 18944-2002

Mailing address

2390 E Rock Rd
Perkasie, PA 18944-2002
Phone (267) 664-6853

Other providers in Perkasie, PA

All providers in Perkasie, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania

Sources for this page

Verify at the official NPI Registry.