Courtney Acena Gross, APRN | |
200 Medical Center Dr, Harlan, KY 40831-0014 | |
(731) 394-1145 | |
Not Available |
Full Name | Courtney Acena Gross |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 200 Medical Center Dr, Harlan, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366138190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 3019029 (Kentucky) | Primary |
Entity Name | Ultra Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20181109001113 |
Mailing Address | Practice Location Address |
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Courtney Acena Gross, APRN Po Box 284, Hyden, KY 41749-0284 Ph: () - | Courtney Acena Gross, APRN 200 Medical Center Dr, Harlan, KY 40831-0014 Ph: (731) 394-1145 |
Savanna Wynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Village Center Rd, Harlan, KY 40831 Phone: 606-573-7771 | |
Misty Renee Turner, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-543-4520 | |
Vanessa Lee Jaco, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 | |
Kimberly Lynn Rouse, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 Ivy St, Harlan, KY 40831 Phone: 606-524-9384 | |
John Brandon Williams, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37 Ball Park Rd, Harlan, KY 40831 Phone: 606-573-4520 | |
Patricia Howard, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1540 S Us Highway 421, Harlan, KY 40831 Phone: 606-573-9939 |