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Individual

KASEY DAWN GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
425 5TH AVE NW, ATTALLA, AL 35954-2214
(256) 492-7800
(256) 494-5536
Mailing address
425 5TH AVE NW, ATTALLA, AL 35954-2214
(256) 492-7800
(256) 494-5511

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-091953
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-091953
AL

Other

Enumeration date
02/19/2009
Last updated
09/06/2024
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