Provider Demographics
NPI:1952765380
Name:HUNTER, JESSICA LIND (CD(DONA))
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LIND
Last Name:HUNTER
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4560 BRISBIN ST
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-6751
Mailing Address - Country:US
Mailing Address - Phone:406-600-5738
Mailing Address - Fax:
Practice Address - Street 1:4560 BRISBIN ST
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6751
Practice Address - Country:US
Practice Address - Phone:406-600-5738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT11473174H00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator