Jennifer G. Groves, P.A.-C.
Physician Assistant in Fort Worth, TX. Individual provider (NPI-1).
NPI number1720174535
StatusActive
Last updated in NPPESAug 18, 2023
Details
- NPI
- 1720174535
- Entity type
- Individual (NPI-1)
- Name
- Jennifer G. Groves
- Credential
- P.A.-C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2006
- Certification date
- Aug 18, 2023
- Last updated
- Aug 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA15632 | TX | Yes |
| 363A00000X | Physician Assistant | 0110005261 | VA | |
| 363A00000X | Physician Assistant | – | DC | |
| 363A00000X | Physician Assistant | PA901 | KY | |
| 363A00000X | Physician Assistant | 99066589A | IN | |
| 363A00000X | Physician Assistant | 10001825B | IN | |
| 363A00000X | Physician Assistant | 10001825A | IN | |
| 363AM0700X | Physician Assistant, Medical | PA901 | KY |
Practice location
6301 Harris Pkwy Ste 300Fort Worth, TX 76132-4266
Phone 817-877-3432
Mailing address
Po Box 75420Baltimore, MD 21275-5420
Phone 703-383-6469 · Fax 703-385-1062
Other practice locations
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