Groth, Jacqueline

Groth, Jacqueline is an individual health care provider with primary practice located at 18697 Bagley Rd , Middleburg Heights OH 44130-3497. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Groth, Jacqueline can be contacted via phone (440) 816-5600.

Contact Information

Primary practice address
18697 Bagley Rd Middleburg Heights OH 44130-3497
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 397399 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.0029732 Ohio

Profile Details

NPI number 1689043408
LBN Legal business name Groth, Jacqueline
Credentials APRN FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2015
Last updated Sep 10th, 2021 - about 3 years 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.

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