Healthcare Provider Details

I. General information

NPI: 1346754587
Provider Name (Legal Business Name): JADE BUTTWEILER APRN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2017
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6511 W 41ST ST
SIOUX FALLS SD
57106-1286
US

IV. Provider business mailing address

671 VANDALIA ST
SAINT PAUL MN
55114-1312
US

V. Phone/Fax

Practice location:
  • Phone: 605-361-5102
  • Fax: 605-361-9523
Mailing address:
  • Phone: 651-698-2406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number5545
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: