Jacqueline Michelle Myers
Individual provider Active NPI Registered Nurse · Box Elder, MT
NPI 1275780595 · NPPES record last updated Aug 19, 2008
Key facts
- NPI
- 1275780595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 24777 (MT)
- Practice address
- RR 1 Box 664
Box Elder, MT 59521-9797 - Phone
- (406) 395-4486
- Fax
- (406) 395-4418
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24777 | MT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 24777 | MT | Yes |
Addresses
Primary practice location
RR 1 Box 664
Box Elder, MT 59521-9797
Mailing address
RR 1 Box 664
Box Elder, MT 59521-9797
Phone (406) 395-4486
Other providers in Box Elder, MT
- Brandi Marie McNamara
- Michael Eugene Melland
- Kathleen J Mitcham
- Taylor Cree Skye Monteau
- Stacey D Moore
- Karen Myers
- Lenore Myers
- Nat'S Medical Supply
- Darel Arvin Nelson
- Victor NG
All providers in Box Elder, MT · Registered Nurse in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.