person
Ms. Jade Lynn Whitesell, PA-C
Medical Physician Assistant in Rapid City, South Dakota
NPI 1376657288

Jade Lynn Whitesell is a Medical Physician Assistant based in Rapid City, SD and is specialized in Medical. Jade Lynn Whitesell practices in Rapid City, SD and has the professional credentials of PA-C. The NPI Number for Jade Lynn Whitesell is 1376657288 and holds a License No. 0423 (South Dakota).

The current practice location address for Jade Lynn Whitesell is 3200 Canyon Lake Dr, Rapid City, SD and can be reached out via phone at 605-355-2251.

Location: 3200 Canyon Lake Dr, Rapid City, SD, 57702-8114
person
Provider Profile Details
NPI Number
1376657288
Provider Name
Jade Lynn Whitesell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3200 Canyon Lake Dr, Rapid City, SD, 57702-8114
Phone Number
605-355-2251
Fax Number
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84179880 01 SD TPIN
106964534 01 SD DUNS & BRADSTREET
institution
Provider Business Practice Location Address Details
Address
3200 Canyon Lake Dr
City
State
Zip
57702-8114
Phone Number
605-355-2251
Fax Number
person
Provider Business Mailing Address Details
Address
3200 Canyon Lake Dr
City
State
Zip
57702-8114
Phone Number
605-355-2251
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0423 (South Dakota)
Definition
Definition to come...
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