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Contact Information

JESSICA S KELLERMAN, CNP
353 FAIRMONT BLVD
RAPID CITY, SD57701-7375
 Phone: 605-644-4431
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JESSICA S KELLERMAN · (Female)

NPI # 1073028593
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 12/06/2017
Last updated 01/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • SD License # CP001318
Hospital affiliation(s)
  • RAPID CITY REGIONAL HOSPITAL - (Acute Care)
    353 FAIRMONT BLVD POST OFFICE BOX 6000
    RAPID CITY, SD 57701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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