Individual provider · Type 1 NPI

Jessica Sue Kellerman, CNP

Nurse Practitioner · Rapid City, SD

NPI number 1073028593 Active

Practice location

353 Fairmont Blvd
Rapid City, SD 57701-7375

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XCP001318 (SD)
Nurse Practitioner Primary 363L00000XCP001318 (SD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073028593

Jessica Sue Kellerman, CNP's National Provider Identifier is 1073028593, issued on Dec 6, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rapid City, SD. The record was last updated on Jan 24, 2020.