Individual
JODIE L GROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
500 E MARKET ST, IOWA CITY, IA 52245-2633
(319) 339-3551
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 339-3551
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
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