Individual
JENNA UPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
1273 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8300
Mailing address
10 VISTA LOOP, KALISPELL, MT 59901-2542
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
131774
MT
Other
Enumeration date
08/08/2018
Last updated
11/27/2023
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