Healthcare Provider Details

I. General information

NPI: 1619856358
Provider Name (Legal Business Name): JASMINE ELIZABETH FILIATRAULT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2054 AIRPORT RD UNIT 7 UNIT 7
KALISPELL MT
59901
US

IV. Provider business mailing address

2054 AIRPORT RD UNIT 7
KALISPELL MT
59901-9151
US

V. Phone/Fax

Practice location:
  • Phone: 281-562-1921
  • Fax:
Mailing address:
  • Phone: 281-562-1921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN-216292
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN-216292
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN-216292
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN-216292
License Number StateMT
# 5
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code163WX0002X
TaxonomyHigh-Risk Obstetric Registered Nurse
License NumberRN-216292
License Number StateMT
# 7
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License NumberRN-216292
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: