Individual
CARRIE JO FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
8000 BLACK HAWK RD STE 4, BLACK HAWK, SD 57718-3315
(605) 431-3388
(605) 403-5356
Mailing address
8000 BLACK HAWK RD STE 4, BLACK HAWK, SD 57718-3315
(605) 431-3388
(605) 403-5356
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CP002583
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP002583
SD
Other
Enumeration date
11/23/2022
Last updated
03/04/2025
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