Individual provider · Type 1 NPI

Jessica Holly Lichtig-Groom, RN

Student in an Organized Health Care Education/Training Program · Truckee, CA

NPI number 1417458076 Active

Practice location

11869 Old Mill Rd
Truckee, CA 96161-2139

Call (530) 574-8030 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Doula 374J00000XNone listed
Doula 374J00000XNone listed
Health Educator 174H00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417458076

Jessica Holly Lichtig-Groom, RN's National Provider Identifier is 1417458076, issued on Feb 27, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Truckee, CA. The record was last updated on Oct 13, 2026.