Individual
MRS. JILLIAN MARIE BOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1035 1ST AVE W, KALISPELL, MT 59901-5607
(406) 751-8110
Mailing address
1035 1ST AVE W, KALISPELL, MT 59901-5607
(406) 751-8110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NUR-RN-LIC-103264
MT
163WC1500X
Community Health Registered Nurse
Primary
NUR-RN-LIC-103264
MT
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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