IndividualActive
Jade Whitesell, PA-C
NPI 1376657288 · Medical Physician Assistant · Rapid City, SD
Provider details
- NPI number
- 1376657288
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0423 (SD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone: (605) 355-2251
Approximate (ZIP-level) locationGet directions
Mailing address
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.