Individual
JENNIFER RENAE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-4425
Mailing address
1872 CLEVELAND AVE, INWOOD, IA 51240-7715
(605) 359-9576
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
PENDING
SD
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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