ANNA JEALOUS OF HIM RN BSN NPI 1205543493

NPI Information

  • NPI: 1205543493
  • Provider Name: ANNA JEALOUS OF HIM, RN, BSN
  • Classification: Registered Nurse - 163WW0101X
  • Specialization: Women's Health Care, Ambulatory
  • Entity Type: Individual
  • Address: 3200 CANYON LAKE DR
    RAPID CITY, SD
    ZIP 57702
  • Phone: (605) 355-2500

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NPI Details

Anna Jealous Of Him, RN, BSN is a women's health care and ambulatory registered nurse in Rapid City, SD. Anna Jealous Of Him, RN, BSN NPI is 1205543493. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702-114
Phone: (605) 355-2500

The enumeration date for this NPI number is 10/28/2022 and was last updated on 10/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WW0101XRegistered NurseWomen's Health Care, AmbulatoryR055808SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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