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Individual

JOURDON QUINN JAYE WICHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNM

Contact information

Practice address
PO BOX 81, WINIFRED, MT 59489-0081
(406) 390-1276
(800) 853-6531
Mailing address
PO BOX 81, WINIFRED, MT 59489-0081
(406) 390-1276
(800) 853-6531

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
NUR-RN-LIC-70073
MT
367A00000X
Advanced Practice Midwife
Primary
NUR-APRN-LIC-176408
MT

Other

Enumeration date
05/25/2021
Last updated
09/21/2024
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