Individual
SHELLY K PAYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HWY 34 AND 47, FORT THOMPSON, SD 57339-0200
(605) 245-2285
Mailing address
210 SCOBY AVENUE, PO BOX 509, HIGHMORE, SD 57345-0509
(605) 852-2138
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R025813
SD
163WM0102X
Maternal Newborn Registered Nurse
R025813
SD
163WP1700X
Perinatal Registered Nurse
Primary
R025813
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549010
—
SD
01
—
R025813
STATE LICENSE NUMBER
SD
Enumeration date
02/27/2007
Last updated
09/11/2025
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