Individual
JESSICA L GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
4910 GOLDEN QUAIL STE 100, SAN ANTONIO, TX 78240-1769
(210) 615-8495
Mailing address
4910 GOLDEN QUAIL STE 100, SAN ANTONIO, TX 78240-1769
(210) 615-8495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1151301
TX
363L00000X
Nurse Practitioner
Primary
1151301
TX
Other
Enumeration date
02/15/2024
Last updated
10/03/2024
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