Jade Lynn Whitesell PA-C

NPI 1376657288 - Physician Assistant - 363AM0700X

NPI Details
NPI 1376657288
Gender Female
Enumeration Date 08/18/2006
Last Updated 02/20/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3200 CANYON LAKE DR
RAPID CITY SD, 57702-8114, US
Phone (605) 355-2251
Fax
Business Location
3200 CANYON LAKE DR
RAPID CITY SD, 57702-8114, US
Phone (605) 355-2251
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State South Dakota
License Number 0423
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According to our database, Ms. Jade Lynn Whitesell PA-C NPI is 1376657288, taxonomy code is 363AM0700X and license number is 0423, license state is located at South Dakota. Jade Lynn Whitesell PA-C physically located at 3200 Canyon Lake Dr, Rapid City SD, 57702-8114. NPI Number Jade Lynn Whitesell PA-C has the Individual type.

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1376657288 NPI number is provided on an as is basis without warranty of any kind. 1376657288 is maintained by the National Plan & Provider Enumeration System. The contents of Jade Lynn Whitesell PA-C are for informational purposes only.