MS. JODI LYNN JEAKINS-KOK


Address: 634 Eddy Ave, Missoula, MT 59812-1851
Phone: 4062434330

MS. JODI LYNN JEAKINS-KOK (NPI# 1467678946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467678946
Entity Type Individual
Full Name MS. JODI LYNN JEAKINS-KOK
Credential NURSE PRACTITIONER
Practice Address 634 Eddy Ave
Missoula
MT 59812-1851
Mailing Address 9575 Keegan Trl
Missoula
MT 59808-9382
Practice Telephone 4062434330
Enumeration Date 2007-04-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WW0101X Registered Nurse
Specialization: Women's Health Care, Ambulatory
16154 MT Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT RN ID NUMBER 16154 01

Office Location

Street Address 634 EDDY AVE
City MISSOULA
State MT
Zip Code 59812-1851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295726826 Christine A Merriman Speech-Language Pathologist 634 Eddy Ave, Missoula, MT 59812-1851 2005-11-02
1447899133 Joy Anne Graham Counselor 634 Eddy Ave, Missoula, MT 59812-1851 2019-12-30
1437609013 Ronny Steven Moates Speech-Language Pathologist 634 Eddy Ave, Missoula, MT 59812-1851 2016-10-07
1982059531 Debra Lassila Registered Nurse 634 Eddy Ave, Missoula, MT 59812-1851 2016-05-02
1033516562 Drew Colling Counselor 634 Eddy Ave, Missoula, MT 59812-1851 2014-11-26
1447650668 Mark Dadmun Counselor 634 Eddy Ave, Missoula, MT 59812-1851 2014-08-25
1164821229 Angie Reather Cronin Psychologist 634 Eddy Ave, Missoula, MT 59812-1851 2014-08-14
1689080368 Emily Hansen Counselor 634 Eddy Ave, Missoula, MT 59812-1851 2014-07-02
1659791390 Misty Vannice Registered Nurse 634 Eddy Ave, Missoula, MT 59812-1851 2014-04-21
1780009332 Jessie Mccafferty Counselor 634 Eddy Ave, Missoula, MT 59812-1851 2014-02-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679094171 Conor Morrissey Marlatt Specialist/Technologist 32 Campus Dr., Missoula, MT 59812 2017-07-05
1932458015 Nils Jackson Physical Therapist 32 Campus Drive, Missoula, MT 59812 2012-09-05
1659520138 Robert B Curry Student in an Organized Health Care Education/Training Program 634 Eddy St, Missoula, MT 59812 2008-09-09
1639382682 Krista O Wills Spec/Tech, Pathology Curry Health Center - University of Montana, 643 Eddy Ave, Missoula, MT 59812 2007-05-07
1841841061 Lonnie Murphy Pharmacist 32 Campus Drive, Skaggs Building 317, Missoula, MT 59812 2019-09-28
1932686839 Tessa Gorchesky Specialist/Technologist 32 Campus Drive, Missoula, MT 59812 2018-07-24
1487265302 Kelli Wrolstad Physical Therapist 129 Skaggs Building, Missoula, MT 59812-0001 2020-08-13
1386262483 Karly Niemann Specialist/Technologist Skaggs Bldg 32 Campus Dr, Missoula, MT 59812-0001 2020-07-06
1912466202 Jenner Minto Pharmacist University of Montana 317 Skaggs Building, Missoula, MT 59812-0001 2019-03-15
1164986691 Orianne Allison Dental Hygienist Curry Health Center 634 Eddy Ave, Missoula, MT 59812-0001 2019-01-29
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Taxonomy Information

Taxonomy Code 163WW0101X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Women's Health Care, Ambulatory

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235352030 Darci Thorsrud Registered Nurse Curry Health Center U of M, 634 Eddy Ave, Missoula, MT 59812-0001 2007-04-10

Competitor

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City MISSOULA
Zip Code 59812

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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