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General NPI Number Information
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NPI Number | 1285441998
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Entity Type | Individual
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Provider Name | DIANA JENKINS APRN
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 11/16/2025
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Provider Practice Location Address
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Address Line | 2700 RADIO WAY
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City | MISSOULA
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State | MT
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Zip | 59808-1385
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Country | US
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Telephone | 406-541-3046
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Fax | 406-728-9068
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Provider Business Mailing Address
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Address Line | PO BOX 31001
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City | PASADENA
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State | CA
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Zip | 91110-4110
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Country | US
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Telephone | 406-329-5615
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Fax | 406-329-5606
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-243338
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License Number State | MT
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