Healthcare Provider Details

I. General information

NPI: 1376595587
Provider Name (Legal Business Name): JENNIFER L GROFF CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER L SNAVELY

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 HARRISBURG PIKE SUITE 310
LANCASTER PA
17604
US

IV. Provider business mailing address

2110 HARRISBURG PIKE STE 310
LANCASTER PA
17601-2644
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3232
  • Fax: 717-544-3233
Mailing address:
  • Phone: 717-544-3232
  • Fax: 717-544-3233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP007184
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: