Individual
JENNIFER L TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5255
Mailing address
909 8TH AVE SE, ABERDEEN, SD 57401-6306
(605) 226-1851
(605) 622-5255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R76854
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076854
CRNA CERTIFICATION
SD
Enumeration date
05/31/2007
Last updated
07/08/2007
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