MEDICARE: HEART AND SOUL HEALTH LLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1740163799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART AND SOUL HEALTH LLC

Provider Business Mailing Address
First Line	:	1415 NORTHWEST BYP STE 1
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-1710
Country	:	US
Telephone Number	:	467-818-8818
Fax Number	:	866-538-0274

Provider Business Practice Location Address
First Line	:	1415 NORTHWEST BYP
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-1708
Country	:	US
Telephone Number	:	406-781-8818
Fax Number	:	866-538-0274

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	JENNALIE DAWN GUTHMILLER
Credential	:	FNP-BC
Telephone Number	:	406-781-6305

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	02/18/2026

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Directions to “HEART AND SOUL HEALTH LLC ” Practice Location

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