Individual
JORDAN JEANETTE DERANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17481
ND
390200000X
Student in an Organized Health Care Education/Training Program
4351029031
MI
Other
Enumeration date
05/15/2018
Last updated
11/06/2022
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