Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jasmin Desrosier

Individual provider Nurse Practitioner · NPI 1558078295

Jasmin Desrosier is a Nurse Practitioner in Missoula, Montana. Qualified in 2022, 4 years ago. Practices with Providence Health and Services Mt, a 358-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
4
Licensed in
MT
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

500 W Broadway St Ste 310
Missoula, MT 59802-4003
Phone: (406) 728-6520
Fax: (406) 329-2799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence NUR-APRN-LIC-198735 (MT)
Nurse Practitioner Taxonomy 363L00000X · Licence NUR-APRN-LIC-198735 (MT)

Record details

NPI number1558078295
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing addressPo Box 12, Liberty Lake, WA 99019-0012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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