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Individual
MS. JESSICA AMANDA MONTY
Active
Individual
MS. JESSICA AMANDA MONTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-080516
AL
363LP2300X
Primary Care Nurse Practitioner
1-080516
AL
Other
Enumeration date
06/09/2006
Last updated
07/16/2008
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