Individual
JEANETTE L HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1041 MONTGOMERY ST, CUSTER, SD 57730-1304
(605) 673-4150
Mailing address
1041 MONTGOMERY ST, CUSTER, SD 57730-1304
(605) 673-4150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R023466
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040665
WELLMARK
SD
01
—
0040728
WELLMARK
SD
01
—
3475
DAKOTACARE
SD
05
—
6821215
—
SD
05
—
6821216
—
SD
01
—
9237729
DAKOTACARE
SD
Enumeration date
05/31/2006
Last updated
02/27/2008
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