Individual provider · Type 1 NPI

Kayla Groose

Family Nurse Practitioner · Jefferson City, MO

NPI number 1346816261 Active

Practice location

2511 W Edgewood Dr
Jefferson City, MO 65109-5869

Call (573) 761-0304 Map

Mailing address

163 Opie Rd
Eugene, MO 65032-4029

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2021019395 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1346816261

Kayla Groose's National Provider Identifier is 1346816261, issued on Jun 1, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jefferson City, MO. The record was last updated on Jul 10, 2021.