Individual provider · Type 1 NPI
Sara Juanita Jumping Eagle, MD
Pediatric Adolescent Medicine Physician · Fort Yates, ND
Practice location
10 N. River Rd., Fort Yates Ihs Hospital/clinic
Fort Yates, ND 58538
Fax (701) 854-7399
Mailing address
10 North River Road
Fort Yates, ND 58538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 11019 (ND) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
About NPI 1508865007
Sara Juanita Jumping Eagle, MD's National Provider Identifier is 1508865007, issued on Jul 18, 2005. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Fort Yates, ND. The record was last updated on Dec 3, 2014.