Individual
MS. JENNIFER L GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
300 PINE GROVE COMMONS, YORK, PA 17403-5176
(717) 812-2143
(717) 812-2163
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-7315
(717) 741-3056
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP008852
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102865
JOHNS HOPKINS
PA
01
—
1556938
GATEWAY-WMG
PA
01
—
1916724
HIGHMARK FREEDOM BLUE
PA
01
—
50056705
CAPITAL BLUE CROSS-WMG
PA
01
—
648909
CAREFIRST MD BCBS
MD
Enumeration date
07/06/2006
Last updated
06/26/2017
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