Gossom, Nissa J

Gossom, Nissa J is an individual health care provider with primary practice located at 1611 Pond Rd Suite 401, Allentown PA 18104-2258. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gossom, Nissa J can be contacted via phone (610) 398-7700.

Contact Information

Primary practice address
1611 Pond Rd Suite 401 Allentown PA 18104-2258
Phone: (610) 398-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010224 Pennsylvania

Profile Details

NPI number 1659680130
LBN Legal business name Gossom, Nissa J
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2010
Last updated Dec 18th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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