Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn De Groot, NP

Individual provider Family Nurse Practitioner · NPI 1306186259

Jaclyn De Groot, NP is a Family Nurse Practitioner in Las Vegas, Nevada. Works from 2 locations. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4505 S Maryland Pkwy
Las Vegas, NV 89154-9900
Phone: (702) 895-3370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10000 Lakewood Blvd, Downey, CA 90240-4020 — (562) 862-3684

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN001611 (NV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 22234 (CA)

Record details

NPI number1306186259
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 28, 2013
Last updated in NPPESJuly 6, 2020
Certification dateJuly 6, 2020

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