NPI 1477104792

Shalae Herbert Jessop

Practitioner Personal Care Attendant Fort Harrison, MT

Practice location

Address: 3687 Veterans Dr, Fort Harrison, MT 59636-9700
Phone: (406) 447-6187
Mailing address: PO Box 410021, Pinesdale, MT 59841-0021

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1477104792
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2019
Record last updated: 27 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.