Jayne L Novotny, PA

NPI #1972546596 in Pierre, South Dakota

Provider Information

NPI Number: 1972546596
Entity Type: Individual
Name: Jayne L Novotny, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 13, 2006
Last Updated: Jul 17, 2012

Practice Location

Address: 100 MAC LANE
Address 2: AVERA MEDICAL GROUP PIERRE
City: Pierre
State: South Dakota
ZIP Code: 57501
Phone: (605) 224-7070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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