Individual
JAMI LYNN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
1714 ABBEY RD, PIERRE, SD 57501-7805
(605) 224-8841
(605) 224-6852
Mailing address
1714 ABBEY RD, PIERRE, SD 57501-7805
(605) 224-8841
(605) 224-6852
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R038055
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5350180
—
SD
Enumeration date
06/24/2014
Last updated
06/24/2014
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