Dj Gross, APRN | |
1115 Alaska St, Suite 215, West Plains, MO 65775-2061 | |
(417) 257-5989 | |
(417) 256-1780 |
Full Name | Dj Gross |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1115 Alaska St, West Plains, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841746195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2016023382 (Missouri) | Primary |
Entity Name | Ozarks Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
Mailing Address | Practice Location Address |
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Dj Gross, APRN Po Box 1100, West Plains, MO 65775-1100 Ph: (417) 256-9111 | Dj Gross, APRN 1115 Alaska St, Suite 215, West Plains, MO 65775-2061 Ph: (417) 257-5989 |
Mr. Larry Ray Kennon, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 | |
Jana Ethel Reid, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-349-2334 | |
Susan Kenslow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-9111 | |
Victoria Hadley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11592 Private Road 6830, West Plains, MO 65775 Phone: 417-372-1061 | |
James Streff, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 Alaska St, Suite 114, West Plains, MO 65775 Phone: 417-257-5950 | |
Kristen Rene' White, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 | |
Shawna Renee Middleton, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Independence Sq, West Plains, MO 65775 Phone: 471-256-1761 Fax: 417-256-1763 |