Jessica M Vanderham, CNP
NPI #1285143891 in Wagner, South Dakota
Provider Information
- NPI Number
- 1285143891
- Entity Type
- Individual
- Name
- Jessica M Vanderham, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CNP
- Enumeration Date
- Sep 26, 2017
- Last Updated
- Apr 16, 2024
Practice Location
- Address
- 513 3RD ST SW
- City
- Wagner
- State
- South Dakota
- ZIP Code
- 57380-9675
- Phone
- (605) 384-3611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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