| Jennifer N Zettl, DNP,FNP-C, CNP | |
|
1369 Montgomery St, Custer, SD 57730-8246 | |
| (605) 673-3900 | |
| (855) 540-2396 |
| Full Name | Jennifer N Zettl |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 1369 Montgomery St, Custer, South Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902644909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP003261 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monument Health Custer Hospital | Custer, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Hills Family Medicine Prof Llc | 8224427968 | 2 |
| Entity Name | Southern Hills Family Medicine Prof Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457013963 PECOS PAC ID: 8224427968 Enrollment ID: O20211117003207 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer N Zettl, DNP,FNP-C, CNP 1369 Montgomery St, Custer, SD 57730-8246 Ph: (605) 673-3900 | Jennifer N Zettl, DNP,FNP-C, CNP 1369 Montgomery St, Custer, SD 57730-8246 Ph: (605) 673-3900 |
Tiffany E Pullins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1369 Montgomery St, Custer, SD 57730 Phone: 605-673-3900 | |
Patricia Lynn Annetts, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1065 Montgomery St, Custer, SD 57730 Phone: 605-673-2237 Fax: 605-673-3593 | |
Jeanette L Hoffman, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1041 Montgomery St, Custer, SD 57730 Phone: 605-673-4150 |