| Doctor Name: | G. NIKKI PORTER |
| NPI Number: | 1194728840 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CP000188 |
| Business Practice Address: | 2200 N Kimball St Ste 860 Mitchell, SD - 573011113 |
| Business Phone Number: | 6059961995 |
| Business Fax Number: | 6059961839 |
| Mailing Address: | 709 W 4th Ave, MITCHELL |
| State: | SD |
| Postal Code: | 573012404 |
| Phone Number: | 6059969807 |
| Fax Number: | 6059961839 |
| NPI Enumeration Date: | 05/24/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | CP000188 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |