Individual
JENNA M MAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
503 W PINE ST, PHILIP, SD 57567-3300
(605) 859-3875
(605) 859-3506
Mailing address
650 MARYVILLE UNIVERSITY DR, SAINT LOUIS, MO 63141-7299
(314) 529-9360
(314) 529-9925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP003038
SD
Other
Enumeration date
11/22/2023
Last updated
12/11/2023
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