Individual
JENNY MARIE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2805 5TH ST, RAPID CITY, SD 57701-6003
(605) 755-5700
Mailing address
4208 TROON CT, RAPID CITY, SD 57702-6969
(605) 645-2190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001969
SD
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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