Individual
JENNIFER GROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-5122
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
10177437-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10177437-4405
UT
Other
Enumeration date
03/02/2017
Last updated
11/02/2021
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