Most Relevant Information
Provider Data
| NPI Number: | 1003489618 |
| Provider Name: | EMMALINE SUE JACKSON |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/21/2021 |
| Last Updated: | 07/21/2021 |
Provider Practice Location
MONTANA STATE UNIVERSITY COLLEGE OF NURSING
1500 UNIVERSITY DRIVE
BILLINGS
MT
59101
Practice Location Phone/Fax
| Phone: | 4069943597 |
| Fax: |
Provider Mailing Location
MONTANA STATE UNIVERSITY COLLEGE OF NURSING
1500 UNIVERSITY DRIVE
BILLINGS
MT
59101
Provider Mailing Phone/Fax
| Phone: | 4069943597 |
| Fax: |