Individual
JENNIFER DAWN NITSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6300
(701) 253-6400
Mailing address
PO BOX 2055, JAMESTOWN, ND 58402-2055
(701) 253-6300
(701) 253-6400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
465
ND
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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