| Doctor Name: | MRS. MARY JO NEMEC |
| NPI Number: | 1316285299 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | CP000772 |
| Business Practice Address: | 603 S Dakota St Milbank, SD - 572522812 |
| Business Phone Number: | 6055540858 |
| Business Fax Number: | |
| Mailing Address: | 19757 327th Ave, HOLABIRD |
| State: | SD |
| Postal Code: | 575405412 |
| Phone Number: | 6058522385 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2013 |
| NPI Last Update Date: | 01/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CP000772 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |