Individual provider · Type 1 NPI

Mary Jo Dupris, L.P.N.

Licensed Practical Nurse · Eagle Butte, SD

NPI number 1609116524 Active

Practice location

24276 166th Street Airport Road
Eagle Butte, SD 57625

Mailing address

PO Box 1784
Eagle Butte, SD 57625-1784

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL-13883 (ND)

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.

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About NPI 1609116524

Mary Jo Dupris, L.P.N.'s National Provider Identifier is 1609116524, issued on Mar 1, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Eagle Butte, SD. The record was last updated on Mar 1, 2013.