NPI

Ernest Jay Gross

NPI 1043640840

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
CRNA
Type
Individual
Enumeration date
2013-11-15
Last updated
2023-11-22

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Specialties

Licenses

License MA
RN2329494
License FL
ARNP11000776
License NC
52674
License SC
27565
License IA
D166143

Location

Practice location
206 Locust St
City
Providence KY
Postal code
42450-1514
Phone
(205) 919-0863

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Providence, KY. 55 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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