Jacey Decoteau
Individual provider Active NPI Registered Nurse · New Town, ND
NPI 1891474318 · NPPES record last updated Jul 12, 2023
Key facts
- NPI
- 1891474318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R50056 (ND)
- Practice address
- 1058 College Dr
New Town, ND 58763-9112 - Phone
- (701) 627-4750
- NPI assigned
- Jul 12, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R50056 | ND | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R50056 | ND | Yes |
Addresses
Primary practice location
1058 College Dr
New Town, ND 58763-9112
Mailing address
1058 College Dr
New Town, ND 58763-9112
Phone (701) 627-4750
Other providers in New Town, ND
- Circle of Life Recovery Center
- Alaina Danks
- Jessica Danks
- Ramona Marie Danks
- Gwendolyn Ashley Davis
- Bernice Annelle Dubois
- Jared Eagle
- Kayla Dawn Edwards
- Elbowoods Memorial Health Center
- Elbowoods Memorial Health Center
All providers in New Town, ND · Registered Nurse in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.