Individual
JESSICA ALICE FREUDENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(701) 322-8988
Mailing address
601 W WALNUT ST, PARKSTON, SD 57366-2149
(775) 343-5322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001540
SD
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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