Individual
JEANNIE MARLENE FAHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
39 NEILL AVE, HELENA, MT 59601-3330
(406) 443-5354
(406) 443-5727
Mailing address
39 NEILL AVE, HELENA, MT 59601-3330
(406) 443-5354
(406) 443-5727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-100460
MT
Other
Enumeration date
07/09/2008
Last updated
12/02/2015
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