MR. JESSIE ENRIQUE GROSS PA NPI 1437204948

NPI Information

NPI: 1437204948
Provider Name: MR. JESSIE ENRIQUE GROSS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
220 HOVEY RD FL 1047
PENSACOLA, FL
ZIP 32508
Phone: (619) 339-2536
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MR. Jessie Enrique Gross, PA is a medical physician assistant in Pensacola, FL. MR. Jessie Enrique Gross, PA NPI is 1437204948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

220 HOVEY RD FL 1047
PENSACOLA, FL
ZIP 32508-047
Phone: (619) 339-2536

The enumeration date for this NPI number is 1/24/2007 and was last updated on 3/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA 13618	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13618	OTHER	CALIFORNIA	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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