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NPI Code Detail

MEDICARE: COURTNEY JEAN MARIE RASMUSSEN ARNP

MEDICARE: COURTNEY JEAN MARIE RASMUSSEN ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA114464IA

General Provider Information

NPI Number : 1003301409
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY JEAN MARIE RASMUSSEN ARNP
Provider Business Mailing Address
First Line : 200 GOLD CIR STE 120
Second Line :
City : DAKOTA DUNES
State : SD
Zip : 57049-5501
Country : US
Telephone Number : 605-217-0700
Fax Number : 605-217-0701
Provider Business Practice Location Address
First Line : 4230 HAMILTON BLVD
Second Line :
City : SIOUX CITY
State : IA
Zip : 51104-1137
Country : US
Telephone Number : 712-239-4300
Fax Number : 712-239-2866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2018
Last Update Date : 03/09/2026

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Directions to “ COURTNEY JEAN MARIE RASMUSSEN ARNP” Practice Location

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