Healthcare Provider Details

I. General information

NPI: 1821754136
Provider Name (Legal Business Name): PAUL ALAN JOKISCH MSN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 6TH AVE N
WOLF POINT MT
59201-6000
US

IV. Provider business mailing address

550 6TH AVE N
WOLF POINT MT
59201-6000
US

V. Phone/Fax

Practice location:
  • Phone: 406-653-1641
  • Fax: 406-653-1646
Mailing address:
  • Phone: 406-653-1641
  • Fax: 406-653-1646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1058609
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: