Jasmin Desrosier, | |
500 W Broadway St Ste 310, Missoula, MT 59802-4003 | |
(406) 728-6520 | |
(406) 329-2799 |
Full Name | Jasmin Desrosier |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 500 W Broadway St Ste 310, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558078295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NUR-APRN-LIC-198735 (Montana) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | NUR-APRN-LIC-198735 (Montana) | Primary |
Entity Name | Providence Health & Services Mt |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
Mailing Address | Practice Location Address |
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Jasmin Desrosier, Po Box 12, Liberty Lake, WA 99019-0012 Ph: (406) 728-6520 | Jasmin Desrosier, 500 W Broadway St Ste 310, Missoula, MT 59802-4003 Ph: (406) 728-6520 |
Mrs. Patricia D Lamb, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 Kensington Ave Ste 16, Missoula, MT 59801 Phone: 406-926-1109 Fax: 406-926-1267 | |
Jill Aucoin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 902 N Orange St, Missoula, MT 59802 Phone: 406-329-5736 | |
Heather Schiedermayer, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2831 Fort Missoula Rd Ste 206, Missoula, MT 59804 Phone: 406-540-3367 | |
Molly Erin Horton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732 | |
Evan Robert Thompson, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2825 Stockyard Rd, Missoula, MT 59808 Phone: 406-201-7142 | |
Matthew Lee Shryock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St Ste 320, Missoula, MT 59802 Phone: 063-295-6154 Fax: 406-329-5606 | |
Troy Dennis Warling, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Rd, Physician Center 3, Suite 204, Missoula, MT 59804 Phone: 406-327-3935 Fax: 406-327-3933 |