Healthcare Provider Details

I. General information

NPI: 1730348327
Provider Name (Legal Business Name): JANET LEIGH ERICKSON PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 13TH AVE EAST FORT PECK TRIBES HPDP
POPLAR MT
59255
US

IV. Provider business mailing address

417 13TH AVE EAST FORT PECK TRIBES HPDP
POPLAR MT
59255
US

V. Phone/Fax

Practice location:
  • Phone: 406-768-3052
  • Fax: 406-768-3383
Mailing address:
  • Phone: 406-768-3052
  • Fax: 406-768-3383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNUR-RN-LIC-30260
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number30260
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: