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Individual

JENNIFER DEGROOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1420 W 22ND ST STE 407, SIOUX FALLS, SD 57105-1507
(605) 328-8900
(605) 328-0071
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-7180

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000622
SD
363LF0000X
Family Nurse Practitioner
CP000622
SD

Other

Enumeration date
10/13/2010
Last updated
07/08/2024
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