Groff, Jacqueline
Groff, Jacqueline is an individual health care provider with primary practice located at 42 Lambert St Ste 111 , Staunton VA 24401-2421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Groff, Jacqueline can be contacted via phone (540) 885-6789.Contact Information
Primary practice address
42 Lambert St Ste 111
Staunton VA 24401-2421
Phone: (540) 885-6789
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024173508 | Virginia |
Profile Details
| NPI number | 1437504115 |
|---|---|
| LBN Legal business name | Groff, Jacqueline |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2016 |
| Last updated | May 21st, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437504115 | NPPES |
| Virginia | MEDICAID | 1437504115 |
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