Weidauer, Jacqueline Deborah

Weidauer, Jacqueline Deborah is an individual health care provider with primary practice located at 1600 W 22Nd St , Sioux Falls SD 57105-1521. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Weidauer, Jacqueline Deborah can be contacted via phone (605) 312-1000.

Contact Information

Primary practice address
1600 W 22Nd St Sioux Falls SD 57105-1521
Phone: (605) 312-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X CP001487 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CP001487 South Dakota

Profile Details

NPI number 1548737018
LBN Legal business name Weidauer, Jacqueline Deborah
Credentials CNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2018
Last updated Oct 12th, 2021 - about 3 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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