Grout, Jodie L

Grout, Jodie L is an individual health care provider with primary practice located at 500 E Market St , Iowa City IA 52245-2633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Grout, Jodie L can be contacted via phone (319) 339-3551.

Contact Information

Primary practice address
500 E Market St Iowa City IA 52245-2633
Phone: (319) 339-3551
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X H096105 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 123101 Colorado

Profile Details

NPI number 1063657369
LBN Legal business name Grout, Jodie L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2008
Last updated Apr 17th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1063657369 NPPES
Colorado MEDICAID 95953787

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