Individual
JASMINE MONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 312-3328
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 312-3328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11020150
FL
363LF0000X
Family Nurse Practitioner
APRN11020150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WG065
HFMG
FL
Enumeration date
06/14/2022
Last updated
02/23/2026
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