Jessica Erin Davies-Lyden, RN

Individual provider Active NPI Registered Nurse · Fort Meade, SD

NPI 1679413751 · NPPES record last updated Mar 30, 2026

Key facts

NPI
1679413751
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R047551 (SD)
Practice address
113 Comanche Rd
Fort Meade, SD 57741-1002
Phone
(605) 347-7000
NPI assigned
Mar 30, 2026
Sex
Female
Sole proprietor
No

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
R047551SDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R047551 SD Yes

Addresses

Primary practice location

113 Comanche Rd
Fort Meade, SD 57741-1002

Mailing address

1212 Baldwin St
Sturgis, SD 57785-2102

Other providers in Fort Meade, SD

All providers in Fort Meade, SD · Registered Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.