Individual
EMMALINE SUE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2224 US HIGHWAY 87 E TRLR 14, BILLINGS, MT 59101-6601
(406) 208-4450
Mailing address
2224 US HIGHWAY 87 E TRLR 14, BILLINGS, MT 59101-6601
(406) 208-4450
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
290534
MT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
06/18/2026
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