Jeffrey N/A Degroot, RN, SRNA
Student in an Organized Health Care Education/Training Program in Falls Church, VA. Individual provider (NPI-1).
NPI number1124831441
StatusActive
Last updated in NPPESJan 30, 2025
Details
- NPI
- 1124831441
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey N/A Degroot
- Credential
- RN, SRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2025
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 9537245 | FL | Yes |
Practice location
3300 Gallows RdFalls Church, VA 22042-3307
Phone 703-776-2522
Mailing address
3300 Gallows RdFalls Church, VA 22042-3307
Phone 703-776-2522
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