Individual
JESSICA ANN BOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4500 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-7000
Mailing address
5720 W COUGHRAN CT, SIOUX FALLS, SD 57106-0444
(605) 351-6070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001963
SD
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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