Individual
JENIFER L GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, APRN
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 702-6371
(920) 993-5037
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP012418
PA
363LF0000X
Family Nurse Practitioner
11005606
FL
363LF0000X
Family Nurse Practitioner
Primary
14116
WI
Other
Enumeration date
10/05/2012
Last updated
11/12/2025
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