Individual
JEREMY W TAMISIEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, NP-C, FNP
Contact information
Practice address
4400 W 69TH ST, SIOUX FALLS, SD 57108-8170
(605) 322-4065
(695) 322-4060
Mailing address
5228 S WOODSEDGE TRL, SIOUX FALLS, SD 57108-8452
(160) 532-1804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R039978
SD
363L00000X
Nurse Practitioner
Primary
CP002305
SD
Other
Enumeration date
12/20/2021
Last updated
11/21/2025
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