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Individual

JESSICA ANN BENNINGHOVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
160 HERITAGE WAY STE 102, KALISPELL, MT 59901-3127
(406) 758-3244
(406) 758-5166
Mailing address
200 HERITAGE WAY, KALISPELL, MT 59901-3146

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NUR-APRN-LIC-213147
MT

Other

Enumeration date
03/06/2023
Last updated
04/17/2024
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