Jana Hunt, RN

Individual provider Active NPI Registered Nurse · Eagle Butte, SD

NPI 1407489149 · NPPES record last updated Feb 21, 2020

Key facts

NPI
1407489149
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R052917 (SD)
Practice address
24276 Airport Rd
Eagle Butte, SD 57625-8021
Phone
(605) 964-7724
Fax
(605) 964-7725
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R052917SDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R052917 SD Yes

Addresses

Primary practice location

24276 Airport Rd
Eagle Butte, SD 57625-8021

Mailing address

24276 Airport Rd
Eagle Butte, SD 57625-8021
Phone (605) 964-7724

Other providers in Eagle Butte, SD

All providers in Eagle Butte, SD · Registered Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.