Individual
MRS. JACKIE KAY LAVE'
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
4435 E CHANDLER BLVD STE 200, PHOENIX, AZ 85048-7651
(917) 634-5311
Mailing address
3254 GRANGER AVE E APT B1, BILLINGS, MT 59102-7060
(406) 208-8617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
72727
MT
363L00000X
Nurse Practitioner
NUR-APRN-LIC-127957
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NUR-APRN-LIC-127957
MT
Other
Enumeration date
07/06/2017
Last updated
02/05/2026
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