| NPI | 1235826363 |
|---|---|
| Doing Business As | JEN GALLOWAY, FNP PRIMARY AND FUNCTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER GALLOWAY Owner 307-333-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |