Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JESSICA-NICOLE MARIE GROGAN PA-C
NPI 1881153138
Physician Assistant - Medical in Eglin Afb, FL

Active since March 17, 2019
307 BOATNER RD STE 114, EGLIN AFB, FL 32542(850) 883-8600 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2026, Dec 29, 2021, Oct 18, 2019 and 1 more (4 updates tracked since 2019).

About Jessica-nicole Marie Grogan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA-NICOLE MARIE GROGAN PA-C (NPI 1881153138) is an individual medical provider in Eglin Afb, Florida and active in the NPI registry since March 2019.Information from the official NPPES registry record, last updated June 30, 2026.

NPPES Registry Identity

NPI1881153138
Entity TypeIndividualFemale
Provider Legal NameJESSICA-NICOLE MARIE GROGANCredential: PA-C
Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542-1302
Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302 · (850) 883-8600
Sole ProprietorNo
Enumeration DateMarch 17, 2019
Last NPPES UpdateJune 30, 20264 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1881153138 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Physician Assistant · Medical

Taxonomy 363AM0700X · Physician Assistants & Advanced Practice Nursing Providers

307 BOATNER RD STE 114, Eglin Afb, FL 32542

Reviews for JESSICA-NICOLE MARIE GROGAN PA-C

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
307 BOATNER RD STE 114
EGLIN, FL 32542
Plastic Surgery
307 BOATNER RD STE 114, 96 MDG/CC
EGLIN AFB, FL 32542
Dentist (General Practice)
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Dental Hygienist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Military Health Care Provider
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Dental Hygienist
307 BOATNER RD STE 114, 96TH DENTAL SQD
EGLIN AFB, FL 32542
Radiology (Diagnostic Radiology)
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Emergency Medicine
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Dietitian, Registered
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Chiropractor
307 BOATNER RD STE 114, CHIROPRACTIC CLINIC
EGLIN AFB, FL 32542
Pharmacist
307 BOATNER RD STE 114, PHARMACY
EGLIN AFB, FL 32542
Dental Hygienist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Dental Hygienist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Dentist
307 BOATNER RD STE 114, 96TH MDG/SGDR
EGLIN AFB, FL 32542
Military Health Care Provider (Independent Duty Medical Technicians)
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Dental Hygienist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Dental Hygienist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Social Worker (Clinical)
307 BOATNER RD STE 114, 96TH MEDICAL GROUP - MENTAL HEALTH
EGLIN AFB, FL 32542
Pediatrics (Neurodevelopmental Disabilities)
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Plastic Surgery
307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881153138, enumerated as an "individual" on March 17, 2019.

The provider is located at 307 BOATNER RD STE 114 EGLIN AFB, FL 32542 and the phone number is (850) 883-8600.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.