NPI 1285143891

Jessica M Vanderham, CNP

Practitioner Family Nurse Practitioner Wagner, SD

Practice location

Address: 513 3rd St SW, Wagner, SD 57380-9675
Phone: (605) 384-3611
Mailing address: 6915 Village Medical Cir, Clemmons, NC 27012-8002

Registered specialties (2)

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 5017905 (NC)

Other Nurse Practitioner providers in South Dakota →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence CP001277 (SD)

Registry record

NPI: 1285143891
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2017
Record last updated: 16 Apr 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.