Individual
JEFFREY L. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5000
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-4477
(406) 268-0084
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN24629
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000099336
BCBS
MT
05
—
1245256916
—
MT
Enumeration date
07/14/2006
Last updated
04/05/2024
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