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NPI Code Detail

MEDICARE: JENNIFER FLOYD MSW

MEDICARE: JENNIFER FLOYD MSW
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
1104100000XSocial WorkerMT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BBH-SWLC-LIC-63843OTHERMTBOARD OF BEHAVIORAL HEALTH

General Provider Information

NPI Number : 1376913517
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER FLOYD MSW
Provider Business Mailing Address
First Line : 4720 23RD AVE
Second Line :
City : MISSOULA
State : MT
Zip : 59803-1137
Country : US
Telephone Number : 406-880-9028
Fax Number :
Provider Business Practice Location Address
First Line : 4720 23RD AVE
Second Line :
City : MISSOULA
State : MT
Zip : 59803-1137
Country : US
Telephone Number : 406-880-9028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2015
Last Update Date : 06/05/2026

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