Provider Demographics
NPI:1992482244
Name:KLEIN, JOCELYN MARIE (NP)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:MARIE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 2ND AVE E
Mailing Address - Street 2:
Mailing Address - City:CULBERTSON
Mailing Address - State:MT
Mailing Address - Zip Code:59218-9363
Mailing Address - Country:US
Mailing Address - Phone:406-787-6400
Mailing Address - Fax:406-787-6473
Practice Address - Street 1:818 2ND AVE E
Practice Address - Street 2:
Practice Address - City:CULBERTSON
Practice Address - State:MT
Practice Address - Zip Code:59218-9363
Practice Address - Country:US
Practice Address - Phone:406-787-6400
Practice Address - Fax:406-787-6473
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT216774363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily