Individual
MS. JODY LYNN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
EAST HIGHWAY 18, PINE RIDGE, SD 57770-1201
(605) 867-5131
Mailing address
P.O. BOX 1201, EAST HIGHWAY 18, PINE RIDGE, SD 57770-1201
(605) 867-5131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R028192
SD
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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