Individual
MS. JENNIFER CULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 W SPRUCE ST STE A, MISSOULA, MT 59802-4047
(406) 728-3111
(406) 728-3116
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 728-3111
(406) 728-3116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20342
MT
Other
Enumeration date
10/22/2012
Last updated
05/19/2021
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