Individual
JAKE DEGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MSN, FNP
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-8900
Mailing address
5680 N AMETHYST DR, APPLETON, WI 54913-7743
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15326-33
WI
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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