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Individual

ERNEST JAY GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
206 LOCUST ST, PROVIDENCE, KY 42450-1514
(205) 919-0863
Mailing address
206 LOCUST ST, PROVIDENCE, KY 42450-1514
(205) 919-0863

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
27565
SC
367500000X
Certified Registered Nurse Anesthetist
52674
NC
367500000X
Certified Registered Nurse Anesthetist
ARNP11000776
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
D166143
IA
367500000X
Certified Registered Nurse Anesthetist
RN2329494
MA

Other

Enumeration date
11/15/2013
Last updated
11/22/2023
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