Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jazmyn Soukup, DNP

Individual provider Nurse Practitioner · NPI 1154008332

Jazmyn Soukup, DNP is a Nurse Practitioner in Wagner, South Dakota. Qualified in 2023, 3 years ago. Practices with Wagner Community Memorial Hospital, a 16-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
3
Licensed in
SD
In the registry since
2023
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

513 3rd St SW
Wagner, SD 57380-9675
Phone: (605) 384-3611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CP002863 (SD)

Record details

NPI number1154008332
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedJune 29, 2023
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wagner Community Memorial Hospital — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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