Amy S Juracek is a Family in Burke, South Dakota. Amy S Juracek practices all healthcare services and medical treatments related to Family. The NPI Number for Amy S Juracek is 1790732600. The last update date is 2022-10-25.
Amy S Juracek's current location address is 814 Jackson St, Burke, South Dakota. You can contact this provider via phone number 6057752631. The mailing address for Amy S Juracek is 814 Jackson St, Burke, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy S Juracek |
|---|---|
| Address | 814 Jackson St, Burke, South Dakota |
| Phone Number | 6057752631 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1790732600 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2022-10-25 |
Provider Mailing Address Detail
| Address | 814 Jackson St |
|---|---|
| City | Burke |
| State | South Dakota (SD) |
| Post Code | 575230358 |
| Phone Number | 6057752631 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | CP000467 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 851370001 | DME | ||
| 6829160 | SD | -- |
Post Comment/ Review Below
What is the Amy S Juracek's 1790732600?
The Amy S Juracek's NPI (National Provider Identifier) Number is 1790732600. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Amy S Juracek is physically located?
The Amy S Juracek is physically situated at the following address: 814 Jackson St, Burke, SD, 575230358.
What is the Amy S Juracek's specialty and taxonomy code?
The Amy S Juracek's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When did Amy S Juracek receive its 1790732600 assignment?
The Amy S Juracek was assigned its 1790732600 on 2006-05-27, which is the date when this unique identifier was issued to the organization.
As of what date were the Amy S Juracek's details last updated?
The information pertaining to the Amy S Juracek, including its address, specialty, and other details, was most recently updated on 2022-10-25.