Provider Demographics
NPI:1699667774
Name:NOWELL, JAMES ALLEN III (PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ALLEN
Last Name:NOWELL
Suffix:III
Gender:M
Credentials:PMHNP-BC
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:ALLEN
Other - Last Name:NOWELL
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:106 MOUNTAIN VISTA CT
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-5581
Mailing Address - Country:US
Mailing Address - Phone:318-791-9880
Mailing Address - Fax:
Practice Address - Street 1:724 CONRAD DRIVE
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:318-791-9880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT264058363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health