Individual
JODIE L GROUT
Active
Individual
JODIE L GROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
123101
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
H096105
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95953787
—
CO
Enumeration date
12/16/2008
Last updated
04/17/2024
Update your record
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