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

Madison De Gruiter

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922842244

Madison De Gruiter is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1922842244
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address2500 N State St, Attn School Of Medicine, Jackson, MS 39216-4500

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