Doctor Name: | JESSIE WHITE HAT |
NPI Number: | 1245607951 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN BSN |
License Number: | R039001 |
Business Practice Address: | 901 W Bia Rosebud, SD - 575700400 |
Business Phone Number: | 6057472945 |
Business Fax Number: | |
Mailing Address: | Po Box 400, ROSEBUD |
State: | SD |
Postal Code: | 575700400 |
Phone Number: | 6057472945 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2015 |
NPI Last Update Date: | 08/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | R039001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |