Basic Information
Provider Information
NPI: 1790448090
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIAGER-MEYER
FirstName: JENNIFER
MiddleName: DENISE
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 275
Address2:  
City: LIBBY
State: MT
PostalCode: 599230275
CountryCode: US
TelephoneNumber: 9012835944
FaxNumber:  
Practice Location
Address1: 209 HEALTH PARK DR
Address2:  
City: LIBBY
State: MT
PostalCode: 599232001
CountryCode: US
TelephoneNumber: 4062837000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/14/2021
LastUpdateDate: 10/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN160681MTY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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