Whalio Doctors

NPI 1073906855

Jennifer Wickherst, LPN

Practitioner Licensed Practical Nurse Watertown, SD

Practice location

Address
123 19th St NE, Watertown, SD 57201
Phone
(605) 886-0123
Fax
(605) 886-5447
Mailing address
PO Box 1030, Watertown, SD 57201

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence P009647 (SD)

Registry record

NPI
1073906855
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Mar 2015
Record last updated
18 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.