Individual
MRS. JOANN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1135 WHISKEYTOWN CT, REDDING, CA 96001-0227
(530) 245-0965
Mailing address
1135 WHISKEYTOWN CT, REDDING, CA 96001-0227
(530) 245-0965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
249144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249144
CAL. FNP LICENSE
CA
05
—
RN249144
—
CA
Enumeration date
09/13/2006
Last updated
03/07/2023
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