Healthcare Provider Details

I. General information

NPI: 1073404034
Provider Name (Legal Business Name): JEAN FOOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N 5TH ST
HOT SPRINGS SD
57747-1480
US

IV. Provider business mailing address

500 N 5TH ST
HOT SPRINGS SD
57747-1480
US

V. Phone/Fax

Practice location:
  • Phone: 605-745-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberR033722
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: