Provider Demographics
NPI:1407888183
Name:GROSS, JENNIFER L (CRNP)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:L
Last Name:GROSS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:SWISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-7315
Mailing Address - Fax:717-741-3056
Practice Address - Street 1:300 PINE GROVE COMMONS
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5176
Practice Address - Country:US
Practice Address - Phone:717-812-2143
Practice Address - Fax:717-812-2163
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008852363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50056705OtherCAPITAL BLUE CROSS-WMG
PA102865OtherJOHNS HOPKINS
MD648909OtherCAREFIRST MD BCBS
PA1556938OtherGATEWAY-WMG
PA1916724OtherHIGHMARK FREEDOM BLUE
PA1556938OtherGATEWAY-WMG
PAP00287375Medicare PIN
MD648909OtherCAREFIRST MD BCBS