# JENNIFER G. GROVES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720174535
- **Gender:** F
- **Credential:** P.A.-C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0110005261 | VA | — |
| 363A00000X | Physician Assistant | 10001825A | IN | — |
| 363A00000X | Physician Assistant | 10001825B | IN | — |
| 363A00000X | Physician Assistant | 99066589A | IN | — |
| 363A00000X | Physician Assistant | PA15632 | TX | Yes |
| 363A00000X | Physician Assistant | PA901 | KY | — |
| 363A00000X | Physician Assistant | — | DC | — |
| 363AM0700X | Medical Physician Assistant | PA901 | KY | — |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201162650 | — | IN |
| 01 | — | 36000818 | ASC MEDICAID GROUP | KY |
| 01 | — | 37903705 | MEDICAID LAB GROUP | KY |
| 01 | — | 4000501 | MEDICARE LAB GROUP | KY |
| 05 | — | 95005351 | — | KY |
| 01 | — | ASC1019 | ASC MEDICARE | KY |
| 01 | — | CB5773 | RR GROUP NO | KY |
| 01 | — | P00379405 | RR MEDICARE PIN | KY |