Individual provider · Type 1 NPI

Jade Lynn Whitesell, PA-C

Medical Physician Assistant · Rapid City, SD

NPI number 1376657288 Active

Practice location

3200 Canyon Lake Dr
Rapid City, SD 57702-8114

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0423 (SD)

Medical Physician Assistant: Definition to come...

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About NPI 1376657288

Jade Lynn Whitesell, PA-C's National Provider Identifier is 1376657288, issued on Aug 18, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rapid City, SD. The record was last updated on Mar 7, 2023.