Individual
KELLYANN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
175 GUNNING RIVER RD, BARNEGAT, NJ 08005-1436
(609) 660-8002
Mailing address
175 GUNNING RIVER RD, BARNEGAT, NJ 08005-1436
(609) 660-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00750700
NJ
Other
Enumeration date
08/02/2017
Last updated
06/12/2020
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