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Jessica Rose Brave Heart
Student in an Organized Health Care Education/Training Program in Brookings, South Dakota
NPI 1275010399

Jessica Rose Brave Heart is a Student in an Organized Health Care Education/Training Program based in Brookings, SD. Jessica Rose Brave Heart practices in Brookings, SD. The NPI Number for Jessica Rose Brave Heart is 1275010399 and holds a License No. (South Dakota).

The current practice location address for Jessica Rose Brave Heart is 1031 3Rd Ave Apt 4, Brookings, SD and can be reached out via phone at 605-899-2863.

Location: 1031 3Rd Ave Apt 4, Brookings, SD, 57006-1145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275010399
Provider Name
Jessica Rose Brave Heart
Credential
Provider Entity Type
Individual
Gender
Female
Address
1031 3Rd Ave Apt 4, Brookings, SD, 57006-1145
Phone Number
605-899-2863
Fax Number
Provider Enumeration Date
07/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1031 3Rd Ave Apt 4
City
Brookings
State
South Dakota
Zip
57006-1145
Phone Number
605-899-2863
Fax Number
person
Provider Business Mailing Address Details
Address
1031 3Rd Ave Apt 4
City
Brookings
State
South Dakota
Zip
57006-1145
Phone Number
605-899-2863
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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