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Individual
JANE W MONTGOMERY
Active
Individual
JANE W MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R623539
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018213
—
MS
Enumeration date
06/06/2006
Last updated
07/08/2007
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