Provider Demographics
NPI:1619856358
Name:FILIATRAULT, JASMINE ELIZABETH (RN)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:ELIZABETH
Last Name:FILIATRAULT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2054 AIRPORT RD UNIT 7
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-9151
Mailing Address - Country:US
Mailing Address - Phone:281-562-1921
Mailing Address - Fax:
Practice Address - Street 1:2054 AIRPORT RD UNIT 7
Practice Address - Street 2:UNIT 7
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:281-562-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN-216292163WP0200X, 163WE0003X, 163WM0102X, 163WN0002X, 163WX0002X, 163WX0003X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-RiskGroup - Multi-Specialty
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
No171400000XOther Service ProvidersHealth & Wellness Coach
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient