Individual
JACKIE MARIE SCOTTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26506 456TH AVE, HUMBOLDT, SD 57035-6801
(605) 261-7167
Mailing address
26506 456TH AVE, HUMBOLDT, SD 57035-6801
(605) 261-7167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R042036
SD
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R042436
SD
Other
Enumeration date
04/14/2025
Last updated
04/16/2026
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