Provider Demographics
NPI:1871182089
Name:JARRETT, JESSICA LEANE (FNP-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LEANE
Last Name:JARRETT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:LEEANN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-4175
Mailing Address - Country:US
Mailing Address - Phone:406-874-8700
Mailing Address - Fax:
Practice Address - Street 1:305 S 4TH ST
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-4175
Practice Address - Country:US
Practice Address - Phone:406-874-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAPRN-219562363LF0000X
NVRN79030163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health