Most Relevant Information
Provider Data
| NPI Number: | 1003203456 |
| Provider Name: | JACKLYN ANN KARLI CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | CP000942 |
Most Important Dates
| Enumeration Date: | 04/23/2015 |
| Last Updated: | 05/13/2022 |
Provider Practice Location
401 9TH AVE NW
WATERTOWN
SD
572011548
Practice Location Phone/Fax
| Phone: | 6058827953 |
| Fax: |
Provider Mailing Location
401 9TH AVE NW
WATERTOWN
SD
572011548
Provider Mailing Phone/Fax
| Phone: | 6058827953 |
| Fax: |