Mrs Jacqueline Lynn Moen, NP | |
300 Garnet Way, Warm Springs, MT 59756 | |
(406) 693-7000 | |
Not Available |
Full Name | Mrs Jacqueline Lynn Moen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 300 Garnet Way, Warm Springs, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801224209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 29160 (Montana) | Primary |
Entity Name | State Of Montana |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356351183 PECOS PAC ID: 3870499676 Enrollment ID: O20031211000579 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jacqueline Lynn Moen, NP 35 Rising Sun Ln, Cascade, MT 59421-8025 Ph: (406) 390-5637 | Mrs Jacqueline Lynn Moen, NP 300 Garnet Way, Warm Springs, MT 59756 Ph: (406) 693-7000 |
Christine Marie Walsh, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 Fax: 406-693-7267 | |
Melody S Wilkinson, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 | |
Amanda Beth Womack, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 | |
Nora Ann Schillo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7008 | |
Stephanie G Dever, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 | |
Kammiell Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7008 Fax: 406-444-3082 | |
Cory Daniels, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 |