Individual provider · Type 1 NPI

Jasmine Maley Gonzaga

Adult Health Nurse Practitioner · Shelby, MT

NPI number 1659877538 Active

Practice location

943 Teton Ave
Shelby, MT 59474-1526

Call (408) 477-6523 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X110403 (WV)
Adult Health Nurse Practitioner Primary 363LA2200X110403 (WV)

Adult Health Nurse Practitioner: Definition to come...

About NPI 1659877538

Jasmine Maley Gonzaga's National Provider Identifier is 1659877538, issued on Apr 1, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Shelby, MT. The record was last updated on Oct 5, 2021.