Individual
DJ GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
(417) 257-5838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016023382
MO
Other
Enumeration date
08/28/2016
Last updated
09/09/2025
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