Individual
JILL M MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24279 166TH ST. AIRPORT ROAD, EAGLE BUTTE, SD 57625
(605) 964-0765
(605) 964-1399
Mailing address
PO BOX 590, EAGLE BUTTE, SD 57625-0590
(605) 200-0506
(605) 964-1399
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RO38218
SD
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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