NPI 1508865007 · live from the CMS NPI Registry
Sara Juanita Jumping Eagle, M.D.
Pediatrics, Adolescent Medicine in Ft. Yates, ND. National Provider Identifier 1508865007, active.
NPI record
| NPI | 1508865007 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 10 N. River Rd., Fort Yates Ihs Hospital/Clinic, Ft. Yates, ND 58538 |
| Practice phone | 701-854-3831 |
| Mailing address | 10 North River Road, Fort Yates, ND 58538 |
| Enumerated | July 18, 2005 |
| Last updated | December 3, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 11019 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.