| Doctor Name: | MRS. JAMIE MARIE HANSBERGER |
| NPI Number: | 1023191343 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | R 156736-4 |
| Business Practice Address: | 1309 W 17th St Ste. 101 Sioux Falls, SD - 571044663 |
| Business Phone Number: | 6053288000 |
| Business Fax Number: | 6053288001 |
| Mailing Address: | 3901 E Steeple St, SIOUX FALLS |
| State: | SD |
| Postal Code: | 571038607 |
| Phone Number: | 6512463745 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 05/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R 156736-4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |