Individual
JESSICA BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
350 PINE ST, RAPID CITY, SD 57701-1669
(605) 721-8939
(605) 721-8998
Mailing address
350 PINE ST, RAPID CITY, SD 57701-1669
(605) 721-8939
(605) 721-8998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP003448
SD
363LP2300X
Primary Care Nurse Practitioner
CP003448
SD
Other
Enumeration date
11/13/2024
Last updated
02/04/2026
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