Individual
JEAN CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2041 ALBANY AVE, HOT SPRINGS, SD 57747-2022
(605) 890-2191
Mailing address
2041 ALBANY AVE, HOT SPRINGS, SD 57747-2022
(605) 890-2191
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000997
SD
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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