Jessica Michaela Hennager
Individual provider Active NPI Child Mental Illness Respite Care · Corvallis, MT
NPI 1962931154 · NPPES record last updated Jun 9, 2017
Key facts
- NPI
- 1962931154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child Mental Illness Respite Care 385HR2055X
- Practice address
- 2200 Eastside Hwy
Corvallis, MT 59828-9616 - Phone
- (406) 360-8221
- Fax
- (406) 360-8221
- NPI assigned
- Jun 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | Yes |
Addresses
Primary practice location
2200 Eastside Hwy
Corvallis, MT 59828-9616
Mailing address
2200 Eastside Hwy
Corvallis, MT 59828-9616
Phone (406) 360-8221
Other providers in Corvallis, MT
- Andrew Ryan Day
- Brynn Dubose
- William David Featherstone
- Kylie France
- Virginia Kristel Froseth
- Jessica Herr
- Janie Marie Hett
- Morgan Hollis
- Lindsay Chapman Huls
- Jeffrey Ernest Humphrey
All providers in Corvallis, MT · Child Mental Illness Respite Care in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2017. 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.