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JESSICA PHYLLIS TVEDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4150 5TH ST, RAPID CITY, SD 57701-6022
(605) 755-4300
(605) 755-0682
Mailing address
4150 5TH ST, RAPID CITY, SD 57701-6022
(605) 755-4300
(605) 755-0682

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CP000848
SD

Other

Enumeration date
03/10/2014
Last updated
10/04/2016
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