MRS. JENNIFER ANNE WALLER APRN-CNP NPI 1295271690

NPI Information

NPI: 1295271690
Provider Name: MRS. JENNIFER ANNE WALLER, APRN-CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SANFORD MEDICAL CENTER

PECOS Registration: Yes

Address:
1508 W 22ND ST
SUITE 101
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 328-3840
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MRS. Jennifer Anne Waller, APRN-CNP is a family nurse practitioner in Sioux Falls, SD with 8 years of experience. MRS. Jennifer Anne Waller, APRN-CNP NPI is 1295271690. 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:

1508 W 22ND ST
SUITE 101
SIOUX FALLS, SD
ZIP 57105-508
Phone: (605) 328-3840

The NPI 1295271690 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2017 and was last updated on 1/10/2017.

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
1	363LF0000X	Nurse Practitioner	Family	CP001179	SOUTH DAKOTA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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