JESSICA M VANDERHAM

WAGNER, SD
NPI1285143891
Former NameJESSICA M RIPLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5017905)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: SD  CP001277)
Enumeration Date2017-09-26
Last Update Date2024-04-16
Business Address
JESSICA M VANDERHAM CNP
513 3RD ST SW
WAGNER, SD 57380-9675
Phone number: 605-384-3611
Mailing Address
JESSICA M VANDERHAM CNP
6915 VILLAGE MEDICAL CIR
CLEMMONS, NC 27012-8002
Phone number: 336-893-1000