Individual provider · Type 1 NPI

Jordan Wetering, LPN

Licensed Practical Nurse · Rapid City, SD

NPI number 1053215103 Active

Practice location

308 Quincy St
Rapid City, SD 57701-2813

Call (605) 391-4863 Map

Mailing address

1102 Flormann St
Rapid City, SD 57701-4435

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201169 (SD)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

23 other providers at this address

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About NPI 1053215103

Jordan Wetering, LPN's National Provider Identifier is 1053215103, issued on Oct 5, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rapid City, SD. The record was last updated on Oct 5, 2026.