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Individual

JOLYN SACKMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, CNP, FNP-BC

Contact information

Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7770
Mailing address
1201 ARROW AVE NE, WATERTOWN, SD 57201-2959

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R043747
SD
363LF0000X
Family Nurse Practitioner
Primary
CP003586
SD

Other

Enumeration date
01/18/2025
Last updated
03/28/2025
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