Individual
MRS. KATIE R JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
400 22ND AVE., BROOKINGS, SD 57002-2497
(605) 697-9500
(605) 697-6939
Mailing address
400 22ND AVE., BROOKINGS, SD 57002-2497
(605) 697-9500
(605) 697-6939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP00715
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP00715
STATE LICENSE
SD
Enumeration date
07/10/2012
Last updated
07/10/2012
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