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

Jillene Marie Bantau

Individual provider Specialist · NPI 1225528664

Jillene Marie Bantau is a Specialist in Fergus Falls, Minnesota. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1806 E Fir Ave Ste 200
Fergus Falls, MN 56537-3921
Phone: (218) 998-2992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1225528664
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2018
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020

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