JACLYN DE GROOT NP NPI 1306186259

NPI Information

NPI: 1306186259
Provider Name: JACLYN DE GROOT, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4505 S MARYLAND PKWY
LAS VEGAS, NV
ZIP 89154
Phone: (702) 895-3370
Get Directions

Jaclyn De Groot, NP is a family nurse practitioner in Las Vegas, NV. Jaclyn De Groot, NP NPI is 1306186259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4505 S MARYLAND PKWY
LAS VEGAS, NV
ZIP 89154-900
Phone: (702) 895-3370

The NPI 1306186259 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2013 and was last updated on 7/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	22234	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	APRN001611	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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