MEDICARE: MRS. JENIFER DARLENE CALDWELL PA C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	576	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	38508	OTHER	IA	WELLMARK BCBS

General Provider Information

NPI Number	:	1316933963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENIFER DARLENE CALDWELL PA C

Provider Business Mailing Address
First Line	:	1224 LINCOLN RD
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-3041
Country	:	US
Telephone Number	:	406-241-3357
Fax Number	:

Provider Business Practice Location Address
First Line	:	1224 LINCOLN RD
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-3041
Country	:	US
Telephone Number	:	406-241-3357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	02/17/2011

Similar Medicare Providers

1609574227 — MISSOULA ALF OPERATIONS, LLC
Practice Location Address:

3018 RATTLESNAKE DR
MISSOULA, MT
59802-6101

Practice Phone: 406-549-0988
Practice Fax: 406-549-0111

1770307068 — NICHOLAS LEWIS
Practice Location Address:

2717 RAYMOND AVE
MISSOULA, MT
59802-3215

Practice Phone: 760-305-3526
Practice Fax:

1588808646 — DR. NICHOLAS ALAN MANTINI
Practice Location Address:

500 W BROADWAY ST STE 320
MISSOULA, MT
59802-4003

Practice Phone: 406-329-5615
Practice Fax: 406-329-5606

1669025987 — MATTHEW JUDE PALL AUD
Practice Location Address:

1357 DICKINSON ST APT A
MISSOULA, MT
59802-3463

Practice Phone: 801-643-5057
Practice Fax:

1265682702 — MS. JESSICA INGRID CHIOVARO PHYSICAL THERAPIST
Practice Location Address:

150 E SPRUCE ST
MISSOULA, MT
59802-4504

Practice Phone: 406-251-2323
Practice Fax:

1093379091 — GRAHAM GAGE
Practice Location Address:

150 E SPRUCE ST
MISSOULA, MT
59802-4504

Practice Phone: 406-251-2323
Practice Fax:

Directions to “ MRS. JENIFER DARLENE CALDWELL PA C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.