Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JEAN VANDERWEIDE, RN
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · WATERTOWN, SD
Registration Details
- NPI Number
- 1912712035
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2025 (1.234986730762 yrs)
- Last Updated
- Feb 7, 2025
- License
-
SD-RN-R030001 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 19TH ST NEWATERTOWN, SD, 572013936Browse SD providers · Browse ZIP 57201
- Phone
- 6058841083
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in WATERTOWN, SD
| Name | Credential | NPI |
|---|---|---|
| KASEY SUE ELLIS-VAN LIERE | — | 1578424693 |
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.