| Doctor Name: | MRS. JESSICA RAE NYGAARD |
| NPI Number: | 1013144773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P.-C |
| License Number: | R30739 |
| Business Practice Address: | 300 2nd Ave Ne Jamestown, ND - 584013373 |
| Business Phone Number: | 7012516000 |
| Business Fax Number: | 7019524596 |
| Mailing Address: | 300 2nd Ave Ne, JAMESTOWN |
| State: | ND |
| Postal Code: | 584013373 |
| Phone Number: | 7012516000 |
| Fax Number: | 7019524596 |
| NPI Enumeration Date: | 06/19/2009 |
| NPI Last Update Date: | 06/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R30739 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |