Novotny, Jayne L

Novotny, Jayne L is an individual health care provider with primary practice located at 100 Mac Lane Avera Medical Group Pierre, Pierre SD 57501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Novotny, Jayne L can be contacted via phone (605) 224-7070.

Contact Information

Primary practice address
100 Mac Lane Avera Medical Group Pierre Pierre SD 57501
Phone: (605) 224-7070
Fax: (605) 224-2514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0417 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 417 South Dakota

Profile Details

NPI number 1972546596
LBN Legal business name Novotny, Jayne L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 17th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972546596 NPPES
South Dakota MEDICAID 6828702

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