Individual
JESSICA Y NORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
103 1ST AVENUE EAST, MC LAUGHLIN, SD 57642
(605) 823-4253
Mailing address
1309 10TH AVE W, MOBRIDGE, SD 57601-1146
(605) 845-3692
(605) 845-8252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14-100084-051
KS
363LF0000X
Family Nurse Practitioner
Primary
R032835
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0381
SD BOARD OF NURSING CNP
SD
01
—
14-100084-051
KANSAS ST BD OF NURSING
KS
01
—
41413
MED B
—
01
—
ARNP
46009
—
01
—
R032835
SD BOARD OF NURSING RN
SD
01
—
S102204
PTAN
—
Enumeration date
02/17/2006
Last updated
09/14/2018
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