Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vicky Jo Gross, NP

Individual provider Adult Health Nurse Practitioner · NPI 1811590623

Vicky Jo Gross, NP is an Adult Health Nurse Practitioner in South Bend, Indiana. Works from 2 locations. Licensed in Indiana and Michigan.

Licensed in
IN, MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4600 W Washington St
South Bend, IN 46619-2320
Phone: (574) 282-1294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1121 E Lasalle Ave, South Bend, IN 46617-3321 — (574) 287-6501

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 71011297A (IN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704270659 (MI)

Record details

NPI number1811590623
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 16, 2020
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021
Mailing address140 Canaris St, Constantine, MI 49042-1016

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