| Doctor Name: | JENNIFER ANN ERDMAN |
| NPI Number: | 1013222157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | CP000603 |
| Business Practice Address: | 636 Saint Anne St Rapid City, SD - 577014694 |
| Business Phone Number: | 6053488000 |
| Business Fax Number: | 6053484315 |
| Mailing Address: | 636 Saint Anne St, RAPID CITY |
| State: | SD |
| Postal Code: | 577014694 |
| Phone Number: | 6053488000 |
| Fax Number: | 6053484315 |
| NPI Enumeration Date: | 08/13/2010 |
| NPI Last Update Date: | 08/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | CP000603 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |