Individual
JILLIAN RAE ORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
221 UNIVERSITY AVE STE 102, WILLISTON, ND 58801-5618
(701) 609-2004
Mailing address
PO BOX 794, CULBERTSON, MT 59218-0794
(406) 949-1423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-198482
MT
363LF0000X
Family Nurse Practitioner
R51785
ND
Other
Enumeration date
02/02/2022
Last updated
10/27/2022
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