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Individual

JENNA ANN DEGROVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA, DNAP

Contact information

Practice address
WAKE FOREST BAPTIST MEDICAL CENTER, WINSTON SALEM, NC 27157-0001
(336) 716-6701
Mailing address
157 MEADOW ST, WAYNESVILLE, NC 28786-3727
(336) 601-2875

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
130605
NC

Other

Enumeration date
01/28/2021
Last updated
01/28/2021
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