Individual
JESSICA MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
112 W LEWIS ST, LIVINGSTON, MT 59047-3066
(406) 222-1111
Mailing address
112 W LEWIS ST, LIVINGSTON, MT 59047-3066
(406) 222-1111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
272987
MT
Other
Enumeration date
11/10/2025
Last updated
12/05/2025
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