Individual
JILL C POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
760 WICKS LN, BILLINGS, MT 59105-4427
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
606
MT
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-606
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
902743
BCBS
MT
Enumeration date
02/03/2010
Last updated
12/14/2021
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