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Jenna M Dormann, PA-C
Medical Physician Assistant in Rapid City, South Dakota
NPI 1699838920

Jenna M Dormann is a Medical Physician Assistant based in Rapid City, SD and is specialized in Medical. Jenna M Dormann practices in Rapid City, SD and has the professional credentials of PA-C. The NPI Number for Jenna M Dormann is 1699838920 and holds a License No. 0614 (South Dakota).

The current practice location address for Jenna M Dormann is 2822 Jackson Blvd, Rapid City, SD and can be reached out via phone at 605-341-1208 and via fax at 605-341-3552.

Location: 2822 Jackson Blvd, Rapid City, SD, 57702-3497
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Provider Profile Details
NPI Number
1699838920
Provider Name
Jenna M Dormann
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2822 Jackson Blvd, Rapid City, SD, 57702-3497
Phone Number
605-341-1208
Fax Number
605-341-3552
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0001972 01 SD WELLMARK
6828382 05 SD
institution
Provider Business Practice Location Address Details
Address
2822 Jackson Blvd
City
State
Zip
57702-3497
Phone Number
605-341-1208
Fax Number
605-341-3552
person
Provider Business Mailing Address Details
Address
2822 Jackson Blvd
City
State
Zip
57702-3497
Phone Number
605-341-1208
Fax Number
605-341-3552
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0614 (South Dakota)
Definition
Definition to come...
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