Jessica Marie Groth, LPN
Licensed Practical Nurse in McHenry, IL. Individual provider (NPI-1).
NPI number1265887178
StatusActive
Last updated in NPPESApr 28, 2016
Details
- NPI
- 1265887178
- Entity type
- Individual (NPI-1)
- Name
- Jessica Marie Groth
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2016
- Last updated
- Apr 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043.116205 | IL | Yes |
Practice location
4031 W Dayton StMcHenry, IL 60050-8377
Phone 815-861-6219
Mailing address
4031 W Dayton StMcHenry, IL 60050-8377
Phone 815-861-6219
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Other Licensed Practical Nurse providers in McHenry, IL
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- Arminda Jean NeukirchNPI 1629135587
- Amanda Yeck, LPNNPI 1144916685
All 7 Licensed Practical Nurse providers in McHenry · All 2,101 providers in McHenry
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