Provider Demographics
NPI:1679990394
Name:BARTOLETTI, JADE KATHLEEN (NP)
Entity type:Individual
Prefix:DR
First Name:JADE
Middle Name:KATHLEEN
Last Name:BARTOLETTI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JADE
Other - Middle Name:KATHLEEN
Other - Last Name:JOHNSTONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 336
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:MT
Mailing Address - Zip Code:59749-0336
Mailing Address - Country:US
Mailing Address - Phone:406-842-5453
Mailing Address - Fax:
Practice Address - Street 1:321 MADISON ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:MT
Practice Address - Zip Code:59749-9636
Practice Address - Country:US
Practice Address - Phone:406-842-5453
Practice Address - Fax:406-842-5057
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-19
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID53490363LF0000X, 363L00000X, 163W00000X
MT217156363LF0000X
MTRN-44958163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner