| Jaeshaun Renville, | |
|
100 Lake Traverse Dr, Sisseton, SD 57262-7046 | |
| (605) 698-7606 | |
| (605) 742-0182 |
| Full Name | Jaeshaun Renville |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 100 Lake Traverse Dr, Sisseton, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598120818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | P011701 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jaeshaun Renville, 20 7th Ave W, Sisseton, SD 57262-1753 Ph: (605) 268-2331 | Jaeshaun Renville, 100 Lake Traverse Dr, Sisseton, SD 57262-7046 Ph: (605) 698-7606 |
Liberty Ann Derby Goodsell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Don Kevin Fischer, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 Fax: 605-742-0182 | |
Mrs. Frances Erin Chanku, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Ms. Jamie Veronica German, L.P.N Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 Fax: 605-742-0182 | |
Ms. Paula Ann Mcbride, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Ms. Danielle Lynne Fitz, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 507 Old Agency Dr, Unit 137a, Sisseton, SD 57262 Phone: 605-698-7606 |