Individual
JEANETTE LUCIA CAPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1203 1ST ST E, POLSON, MT 59860-5327
(720) 545-4534
Mailing address
1203 1ST ST E, POLSON, MT 59860-5327
(720) 545-4534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-238495
MT
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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