Provider Demographics
NPI:1205165248
Name:ISBELL, JODY L (PA-C)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:L
Last Name:ISBELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 S LAST CHANCE GULCH STE 3
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4153
Mailing Address - Country:US
Mailing Address - Phone:406-442-3534
Mailing Address - Fax:406-442-2064
Practice Address - Street 1:50 S LAST CHANCE GULCH STE 3
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4153
Practice Address - Country:US
Practice Address - Phone:406-442-3534
Practice Address - Fax:406-442-2064
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT602363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant