Individual provider · Type 1 NPI

Mindy Jo Doom, CNP

Nurse Practitioner · Rapid City, SD

NPI number 1306357678 Active

Practice location

640 Flormann St
Rapid City, SD 57701

Mailing address

1480 Edinborough Dr
Rapid City, SD 57702-8721

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCP001292 (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 1306357678

Mindy Jo Doom, CNP's National Provider Identifier is 1306357678, issued on Oct 13, 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 Jun 15, 2018.