MRS. JACI 'K' JEAN PHILLIPS (NPI# 1396052379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396052379 |
| Entity Type | Individual |
| Full Name | MRS. JACI 'K' JEAN PHILLIPS |
| Credential | FNP-BC |
| Practice Address |
507 North Lincoln Avenue Broadus MT 59317-0489 |
| Mailing Address |
507 North Lincoln Avenue P.o. Box 489 Broadus MT 59317-0489 |
| Practice Telephone | 4064362651 |
| Mailing Telephone | 4064362651 |
| Enumeration Date | 2010-09-11 |
| Last Update Date | 2015-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24922 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
507 NORTH LINCOLN AVENUE |
| City | BROADUS |
| State | MT |
| Zip Code | 59317-0489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429442 | The Body Shop Physical Therapy | Clinic/Center | 117 East Wilson Avenue, Broadus, MT 59317 | 2020-05-19 |
| 1801234141 | Powder River County | Clinic/Center | 104 North Trautman, Broadus, MT 59317 | 2013-06-10 |
| 1760768873 | Jami Jo Schroeder | Pharmacist | 120 S Park Ave, Broadus, MT 59317 | 2011-11-02 |
| 1316953102 | Larry's Iga Pharmacy | Pharmacy | 120 S. Park Street, Broadus, MT 59317 | 2006-07-31 |
| 1952550535 | Jesse Ambulance Service | Ambulance | 201 East Holt Street, Broadus, MT 59317-0000 | 2008-09-18 |
| 1437511821 | Jesse Ambulance Service LLC | Ambulance | 201 E. Holt Street, Broadus, MT 59317-0041 | 2016-03-24 |
| 1629274998 | Powder River County | Public Health or Welfare | 507 N Lincoln, Broadus, MT 59317-0210 | 2007-06-25 |
| 1376606517 | Powder River Publichealth | Registered Nurse | 507 N. Lincoln, Broadus, MT 59317-0210 | 2006-12-19 |
| 1265605398 | Eastern Montana Health Company | Clinic/Center | 507 North Lincoln Ave, Box 489, Broadus, MT 59317-0489 | 2008-04-09 |
| 1083245393 | Patrick D Flanigan | Nurse Practitioner | 507 North Lincoln Ave, Broadus, MT 59317-0489 | 2020-01-27 |
| Find all providers in zip 59317 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083245393 | Patrick D Flanigan | Nurse Practitioner | 507 North Lincoln Ave, Broadus, MT 59317-0489 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114872 | Harold James Horine IIi | Nurse Practitioner | 43 Meadow Lark Ln, Deer Lodge, MT 59722-9540 | 2020-11-06 |
| 1073110268 | Heidi Kearns | Nurse Practitioner | 1038 3rd Ave E, Kalispell, MT 59901-5642 | 2020-10-01 |
| 1730796699 | Brandy Colvin | Nurse Practitioner | 709 N Aster Ave, Bozeman, MT 59718-6991 | 2020-09-25 |
| 1518571686 | Megan Gittings Fnp-c Pllc | Nurse Practitioner | 55 W 14th St Ste 102, Helena, MT 59601-3387 | 2020-09-04 |
| 1528672979 | Melanie Funke | Nurse Practitioner | 272 Aswan Pl, Billings, MT 59105-2910 | 2020-09-02 |
| 1831716927 | Chloe Marie Georgeton | Nurse Practitioner | 1288 N 14th Ave Ste 201, Bozeman, MT 59715-8535 | 2020-07-06 |
| 1629697784 | Stephani Conner | Nurse Practitioner | 604 Pine Pl, Whitefish, MT 59937-2362 | 2020-04-09 |
| 1518590645 | William Todd Wohlman | Nurse Practitioner | 3458 Baldwin Rd, Stevensville, MT 59870-2904 | 2020-02-17 |
| 1578104253 | Nora Caitlin Healy | Nurse Practitioner | 201 North 10th Street, Hamilton, MT 59840 | 2019-10-03 |
| 1730737115 | Julie Ann Emerson | Nurse Practitioner | 3244 S 26th Ave, Bozeman, MT 59718-7434 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.