NPI 1154008332

Jazmyn Soukup, DNP

Practitioner Nurse Practitioner Wagner, SD

Practice location

Address: 513 3rd St SW, Wagner, SD 57380-9675
Phone: (605) 384-3611

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence CP002863 (SD)

Other Nurse Practitioner providers in South Dakota →

Registry record

NPI: 1154008332
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2023
Record last updated: 24 May 2024

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.