Individual
MR. JEREMIE JEVON GROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, ACNPC-AG
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-7403
(310) 206-3766
Mailing address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-7403
(310) 206-3766
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95034691
CA
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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