Individual
JAMIE LYNN RODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
13835 SD HIGHWAY 40, HERMOSA, SD 57744-6613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001297
SD
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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