Mr. Jessie E. Gross PA
Medical Physician Assistant in Pensacola, FL(View on Map)
Full Name
Mr. Jessie Enrique Gross PA
NPI Number
1437204948
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/24/2007
Specialties
(Taxonomies)Licenses
State
California
License Number
PA 13618
Contact
Information
Purpose
Mailing
Location
Address
220 HOVEY RD FL 1047
220 HOVEY RD FL 1047
City
Pensacola
Pensacola
State
FL
FL
Postal Code
32508-1047
32508-1047
Country
US
US
Telephone Number
(619) 339-2536
(619) 339-2536
Identifiers
Identifier
13618
Identifier State
CA
Identifier Issuer
STATE LICENSE
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
jessie.e.gross.mil@mail.com
Endpoint Description
Military Command
Use
Direct
Content Type
CSV
Affiliation
N
Endpoint Location
220 Hovey Rd Fl 1047Pensacola, FL325081047US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/31/2020