Provider Demographics
NPI:1932936176
Name:GILLEN, KARI JEAN (PMHNP, MSN, RN)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:JEAN
Last Name:GILLEN
Suffix:
Gender:F
Credentials:PMHNP, MSN, RN
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4344 LEVANG LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-5148
Mailing Address - Country:US
Mailing Address - Phone:218-780-0576
Mailing Address - Fax:
Practice Address - Street 1:1611 ZIMMERMAN TRL
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7652
Practice Address - Country:US
Practice Address - Phone:406-248-3607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-243054363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health