Individual provider · Type 1 NPI

Jenifer L. Grooms, CRNP, APRN

Family Nurse Practitioner · Appleton, WI

NPI number 1104178896 Active

Practice location

3925 N Gateway Dr
Appleton, WI 54913-7863

Fax (920) 993-5037

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X14116 (WI)
Nurse Practitioner 363L00000XSP012418 (PA)
Family Nurse Practitioner 363LF0000X11005606 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1104178896

Jenifer L. Grooms, CRNP, APRN's National Provider Identifier is 1104178896, issued on Oct 5, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Appleton, WI. The record was last updated on Nov 12, 2025.