Individual
JENNIFER E. SCALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 WEST BROADWAY, MISSOULA, MT 59802
(406) 721-5600
(406) 721-5600
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(406) 329-5828
(406) 329-5864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
558
MT
363A00000X
Physician Assistant
C0003014
MD
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-558
MT
Other
Enumeration date
07/07/2006
Last updated
05/14/2025
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