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Contact Information

JAYNE L NOVOTNY, PA
100 MAC LANE
AVERA MEDICAL GROUP PIERRE
PIERRE, SD57501
 Phone: 605-224-7070
 Fax: 605-224-2514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JAYNE L NOVOTNY · (Female)

NPI Number 1972546596
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/13/2006
Last updated 07/17/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 0417
  • SD License # 417
  • SD Medicaid 6828702
Hospital affiliation(s) Not Available
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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