Individual
JESSICA LYNNAE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
2929 5TH ST, RAPID CITY, SD 57701-7363
(605) 755-1309
(605) 755-1303
Mailing address
2929 5TH ST, RAPID CITY, SD 57701-7363
(605) 755-1309
(605) 755-1303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP002076
SD
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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