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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA M VANDERHAM, CNP

Active

JESSICA M VANDERHAM, CNP is a Family Nurse Practitioner healthcare provider located in WAGNER, South Dakota. NPI 1285143891 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · WAGNER, SD

Registration Details

NPI Number
1285143891
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2017 (8.8423371929902 yrs)
Last Updated
Apr 16, 2024
Licenses
CP001277 (SD)
5017905 (NC)

Practice Information

Address
513 3RD ST SW
WAGNER, SD, 573809675
Browse SD providers · Browse ZIP 57380
Phone
6053843611
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in WAGNER, SD

Name Credential NPI
MELODY OTTE 1649686080
CAROL LEE STEWART DNP, APRN, CNP 1083070593
LINDSEY NEDVED NP-C 1013377944
RYAN KOCER CNP 1356824148
BERKLEY A ERICKSON CNP 1619582699
KENZIE SUZETTE GANT DNP, FNP 1750001970
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.