Individual
MRS. JENNIFER DE GROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3027 N CIRCLE DR, COLORADO SPRINGS, CO 80909-1179
(719) 776-4700
(719) 776-4701
Mailing address
3027 N CIRCLE DR, COLORADO SPRINGS, CO 80909-1179
(719) 776-4700
(719) 776-4701
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
1618338
CO
363L00000X
Nurse Practitioner
APN.0994838
CO
363LF0000X
Family Nurse Practitioner
Primary
0994838
CO
363LP0200X
Pediatric Nurse Practitioner
0994838
CO
Other
Enumeration date
05/11/2019
Last updated
12/23/2020
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