Individual
JASMIN DESROSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W BROADWAY ST STE 310, MISSOULA, MT 59802-4003
(406) 728-6520
(406) 329-2799
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 728-6520
(406) 329-2799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NUR-APRN-LIC-198735
MT
363LG0600X
Gerontology Nurse Practitioner
Primary
NUR-APRN-LIC-198735
MT
Other
Enumeration date
11/02/2022
Last updated
12/19/2022
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