Individual
JESSIE WHITE HAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
901 W BIA, ROSEBUD, SD 57570-0400
(605) 747-2945
Mailing address
PO BOX 400, ROSEBUD, SD 57570-0400
(605) 747-2945
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R039001
SD
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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