Jacklyn Joan Tryhus LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

JACKLYN JOAN TRYHUS LLC

Practice address

2620 Connery Way Ste 201
Missoula, MT 59808-1325

Phone

(406) 529-7465

NPI assigned

Apr 8, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacklyn Joan Tryhus, PA-CNPI 1841841590

Title

Psychiatry Specialist

Phone

(406) 529-7465

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacklyn Joan Tryhus, PA-C

  • Physician Assistant
  • Missoula, MT
  • NPI 1841841590
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1164216560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CONNERY WAY STE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081325",
            "telephone_number": "406-529-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CONNERY WAY STE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081325",
            "telephone_number": "406-529-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKLYN JOAN TRYHUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "TRYHUS",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "PSYCHIATRY SPECIALIST",
        "authorized_official_telephone_number": "406-529-7465",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Missoula, MT
• Providers in Missoula, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.