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Individual

CARLY JORDAN HATFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP-BC

Contact information

Practice address
210 N HIGGINS AVE STE 314, MISSOULA, MT 59802-4443
(406) 851-9244
Mailing address
PO BOX 8744, MISSOULA, MT 59807-8744
(406) 851-9244

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NUR-RN-LIC-126877
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NUR-APRN-LIC-160820
MT

Other

Enumeration date
07/03/2020
Last updated
11/24/2025
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