Individual
JENNINE C BROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1103 WESTWOOD DR STE B, HAMILTON, MT 59840-2342
(406) 375-4119
(406) 541-2140
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NUR-APRN-LIC-100801
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006475
—
MT
05
—
1063532653
—
ID
Enumeration date
03/29/2007
Last updated
11/13/2024
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