person
Tiffany L Gross, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Monticello, Kentucky
NPI 1912638164

Tiffany L Gross is a Psychiatric/Mental Health Nurse Practitioner based in Burkesville, KY and is specialized in Psychiatric/Mental Health. Tiffany L Gross practices in Monticello, KY and has the professional credentials of PMHNP-BC. The NPI Number for Tiffany L Gross is 1912638164 and holds a License No. 3018327 (Kentucky).

The current practice location address for Tiffany L Gross is 1025 S Main Street, Monticello, KY and can be reached out via phone at 606-340-8870 and via fax at 606-340-9828.

Location: 1025 S Main Street, Monticello, KY, 42717-1080
person
Provider Profile Details
NPI Number
1912638164
Provider Name
Tiffany L Gross
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1025 S Main Street, Monticello, KY, 42717-1080
Phone Number
606-340-8870
Fax Number
606-340-9828
Provider Enumeration Date
06/20/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15644251 01 CAQH
7100848360 05 KY
institution
Provider Business Practice Location Address Details
Address
1025 S Main Street
City
State
Zip
42633-2762
Phone Number
606-340-8870
Fax Number
606-340-9828
person
Provider Business Mailing Address Details
Address
1025 S Main Street
City
State
Zip
42633-2762
Phone Number
606-340-8870
Fax Number
606-340-9828
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
3018327 (Kentucky)
Definition
Definition to come...
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