Individual
ASHLEY GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
411 PRINCETON RD STE 101, JOHNSON CITY, TN 37601-2049
(423) 461-0021
Mailing address
411 PRINCETON RD, STE B, JOHNSON CITY, TN 37601-2049
(423) 461-0021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0000022920
TN
Other
Enumeration date
08/29/2017
Last updated
12/18/2017
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