NPI 1124704879

Jordan J Grooms, PAC

Practitioner Physician Assistant Kearney, NE

Practice location

Address: 2810 W 35th St STE 1, Kearney, NE 68845-2909
Phone: (308) 865-2570
Fax: (308) 865-2508

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3205 (NE)

Other Physician Assistant providers in Nebraska →

Registry record

NPI: 1124704879
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2023
Record last updated: 31 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.