Provider Demographics
NPI:1912918046
Name:RIPLEY, JILL BANNING (FNP)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:BANNING
Last Name:RIPLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2181 HIGHWAY 2 E.
Mailing Address - Street 2:SUITE 9
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901
Mailing Address - Country:US
Mailing Address - Phone:406-756-7225
Mailing Address - Fax:406-756-5523
Practice Address - Street 1:2181 HIGHWAY 2 E.
Practice Address - Street 2:SUITE 9
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-756-7225
Practice Address - Fax:406-756-5523
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN10172171W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No171W00000XOther Service ProvidersContractor