Individual
JADELL HOVANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
716 COLLEGE VIEW DR STE A, RIVERTON, WY 82501-2282
(307) 840-0717
Mailing address
PO BOX 6066, RIVERTON, WY 82501-0399
(307) 840-0717
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
48933
WY
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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