Kellerman, Jessica Sue

Kellerman, Jessica Sue is an individual health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701-7375. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kellerman, Jessica Sue can be contacted via phone (605) 644-4431.

Contact Information

Primary practice address
353 Fairmont Blvd Rapid City SD 57701-7375
Phone: (605) 644-4431
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X CP001318 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CP001318 South Dakota

Profile Details

NPI number 1073028593
LBN Legal business name Kellerman, Jessica Sue
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2017
Last updated Jan 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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