Individual
ASHLEY MARIE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24276 AIRPORT RD, EAGLE BUTTE, SD 57625-8021
(605) 964-7724
(605) 964-7725
Mailing address
24276 AIRPORT RD, EAGLE BUTTE, SD 57625-8021
(605) 964-7724
(605) 964-7725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R052845
SD
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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