Provider Demographics
NPI:1265919468
Name:CONKLIN, GINGER (DNP, PMHNP)
Entity type:Individual
Prefix:DR
First Name:GINGER
Middle Name:
Last Name:CONKLIN
Suffix:
Gender:F
Credentials:DNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 8TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-3242
Mailing Address - Country:US
Mailing Address - Phone:605-725-4772
Mailing Address - Fax:605-725-4777
Practice Address - Street 1:2120 8TH AVE NE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-3242
Practice Address - Country:US
Practice Address - Phone:605-725-4772
Practice Address - Fax:605-725-4777
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP001402363LP0808X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry