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Mrs. Theresa Gross, APRN
Family Nurse Practitioner in Corbin, Kentucky
NPI 1144622523

Theresa Gross is a Family Nurse Practitioner based in Gray, KY and is specialized in Family. Theresa Gross practices in Corbin, KY and has the professional credentials of APRN. The NPI Number for Theresa Gross is 1144622523 and holds a License No. 3008942 (Kentucky).

The current practice location address for Theresa Gross is 121 Bishop St, Corbin, KY and can be reached out via phone at 606-528-2124.

Location: 121 Bishop St, Corbin, KY, 40734-6859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144622523
Provider Name
Theresa Gross
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
121 Bishop St, Corbin, KY, 40734-6859
Phone Number
606-528-2124
Fax Number
Provider Enumeration Date
09/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100345190 05 KY
institution
Provider Business Practice Location Address Details
Address
121 Bishop St
City
Corbin
State
Kentucky
Zip
40701-1702
Phone Number
606-528-2124
Fax Number
person
Provider Business Mailing Address Details
Address
121 Bishop St
City
Corbin
State
Kentucky
Zip
40701-1702
Phone Number
606-528-2124
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3008942 (Kentucky)
Definition
Definition to come...
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