Groom, Jennessa Offutt

Groom, Jennessa Offutt is an individual health care provider with primary practice located at 700 Ne 87Th Ave # 260 , Vancouver WA 98664-1913. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Groom, Jennessa Offutt can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
700 Ne 87Th Ave # 260 Vancouver WA 98664-1913
Phone: (360) 882-2778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60882886 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 60882886 Washington
Nursing Service Providers / Registered Nurse 163W00000X RN60651055 Washington

Profile Details

NPI number 1619482551
LBN Legal business name Groom, Jennessa Offutt
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2017
Last updated Apr 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619482551 NPPES
Washington MEDICAID 2134328

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