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JESS NP FAMILY HEALTHCARE NPI 1528738002


NPI Information

NPI: 1528738002
Provider Name: JESS NP FAMILY HEALTHCARE

Other Name: JESS NP FAMILY HEALTHCARE, PLLC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 27D2231686

Address:
140 S CENTRAL AVE
MALTA, MT
ZIP 59538
Phone: (406) 654-1953
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JESS NP FAMILY HEALTHCARE is a clinic center in Malta, MT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JESS NP FAMILY HEALTHCARE NPI is 1528738002. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Jess Np Family Healthcare, Pllc.

The provider's business location address is:

140 S CENTRAL AVE
MALTA, MT
ZIP 59538-581
Phone: (406) 654-1953
Fax: (406) 654-5204

The provider's authorized official is Jessica Marie Domire .
The authorized official title is Owner and has the following contact phone number (406) 654-1953.

The CLIA number assigned to this NPI record is 27D2231686 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2021 and was last updated on 3/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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