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Individual

MS. JESSICA AMANDA MONTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1526 5TH AVE S, BIRMINGHAM, AL 35233-1615
(205) 279-2860
(205) 252-0197
Mailing address
1526 5TH AVE S, BIRMINGHAM, AL 35233-1615
(205) 279-2860
(205) 252-0197

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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