Provider Demographics
NPI:1194600395
Name:GROFT, JESSICA BELL (PA-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:BELL
Last Name:GROFT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9463 PASTURE DR
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-5807
Mailing Address - Country:US
Mailing Address - Phone:423-653-8836
Mailing Address - Fax:
Practice Address - Street 1:9463 PASTURE DR
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-5807
Practice Address - Country:US
Practice Address - Phone:423-653-8836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant