Female

Mrs. Virginia R. Jeppesen NP-C

Nurse Practitioner in Bozeman, MT(View on Map)

Full Name

Mrs. Virginia R Jeppesen NP-C

NPI Number

1174896419

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/16/2012

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Idaho

License Number

NP-1149A

Contact
Information

Purpose

Mailing
Location

Address

536 S COTTONWOOD RD
536 S COTTONWOOD RD

City

Bozeman
Bozeman

State

MT
MT

Postal Code

59718-9515
59718-9515

Country

US
US

Telephone Number

(406) 586-8029
(406) 586-8029

Identifiers

Identifier

NP-1149A
NUR-APRN-LIC-136599

Identifier State

ID
MT

Identifier Issuer

NURSE PRACTITIONER LICENSE
NURSE PRACTITIONER LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/25/2020

Provider Address

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