| Jessica Anne Koupal, DNP-FNP, PMHNP | |
|
8000 Black Hawk Rd Ste 4, Blackhawk, SD 57718 | |
| (605) 431-3388 | |
| Not Available |
| Full Name | Jessica Anne Koupal |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 8000 Black Hawk Rd Ste 4, Blackhawk, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306488333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP001656 (South Dakota) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CP001656 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Anne Koupal, DNP-FNP, PMHNP 8000 Black Hawk Rd Ste 4, Black Hawk, SD 57718-3315 Ph: (605) 431-3388 | Jessica Anne Koupal, DNP-FNP, PMHNP 8000 Black Hawk Rd Ste 4, Blackhawk, SD 57718 Ph: (605) 431-3388 |
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