| Doctor Name: | JERIL ALTMIRE GOSS |
| NPI Number: | 1215085071 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.D., L.D. |
| License Number: | DN000996 |
| Business Practice Address: | 145 Hospital Ave Suite 104 Du Bois, PA - 158011462 |
| Business Phone Number: | 8143756383 |
| Business Fax Number: | 8143756388 |
| Mailing Address: | 100 Hospital Ave, DU BOIS |
| State: | PA |
| Postal Code: | 158011440 |
| Phone Number: | 8143756383 |
| Fax Number: | 8143756388 |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 01/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DN000996 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |