Individual
MS. JO ANNE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2608 KWINA RD, BELLINGHAM, WA 98226-9291
(360) 384-0464
Mailing address
2608 KWINA RD, BELLINGHAM, WA 98226-9291
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30002201
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9605221
WA STATE MEDICAID #
WA
Enumeration date
03/27/2007
Last updated
10/29/2024
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