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Kelly D Jenne, NP
Nurse Practitioner in Polson, Montana
NPI 1144767344

Kelly D Jenne is a Nurse Practitioner based in Indianapolis, MT. Kelly D Jenne practices in Polson, MT and has the professional credentials of NP. The NPI Number for Kelly D Jenne is 1144767344 and holds a License No. 28209377A (Montana).

The current practice location address for Kelly D Jenne is 314 1St St E, Polson, MT and can be reached out via phone at 406-880-6415.

Location: 314 1St St E, Polson, MT, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144767344
Provider Name
Kelly D Jenne
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
314 1St St E, Polson, MT, 46219-4959
Phone Number
406-880-6415
Fax Number
Provider Enumeration Date
01/25/2017
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
090540375 01 IN MEDICARE PTAN
300008240 05 IN
068010568 01 IN MEDICARE PTAN
P02474299 01 IN RAILROAD PTAN
institution
Provider Business Practice Location Address Details
Address
314 1St St E
City
Polson
State
Montana
Zip
59860-2148
Phone Number
406-880-6415
Fax Number
person
Provider Business Mailing Address Details
Address
314 1St St E
City
Polson
State
Montana
Zip
59860-2148
Phone Number
406-880-6415
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71007550A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28209377A (Indiana)
Definition
Definition to come...
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