Individual
JESSICA LEA PREHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
204 W HAVENS AVE, MITCHELL, SD 57301-3906
(605) 990-4357
Mailing address
204 W HAVENS AVE, MITCHELL, SD 57301-3906
(605) 990-4357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000851
SD
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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