Individual provider · Type 1 NPI

Jaala M. Wickman, FNP-BC

Family Nurse Practitioner · Missoula, MT

NPI number 1922612431 Active

Practice location

2827 Fort Missoula Rd
Missoula, MT 59804-7408

Call (406) 728-4100 Map

Mailing address

PO Box 1098
Frenchtown, MT 59834-1098

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	165714 (MT)

Family Nurse Practitioner: Definition to come...

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About NPI 1922612431

Jaala M. Wickman, FNP-BC's National Provider Identifier is 1922612431, issued on Sep 2, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Missoula, MT. The record was last updated on Nov 18, 2020.