| Jennifer Wickherst, LPN | |
|
123 19th St Ne, Watertown, SD 57201 | |
| (605) 886-0123 | |
| (605) 886-5447 |
| Full Name | Jennifer Wickherst |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 123 19th St Ne, Watertown, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073906855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | P009647 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Wickherst, LPN Po Box 1030, Watertown, SD 57201 Ph: (605) 886-0123 | Jennifer Wickherst, LPN 123 19th St Ne, Watertown, SD 57201 Ph: (605) 886-0123 |
Kristine Reichert, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447 | |
Mrs. Bonny Lou Sandvik, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447 |