Individual
MRS. EBONY MONIQUE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1410 BRADEN STREET, JACKSONVILLE, AR 72076
(870) 280-2578
(844) 447-2520
Mailing address
500 SW 7TH ST STEA205, RENTON, WA 98057
(877) 522-1275
(833) 888-7145
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
125407
AR
Other
Enumeration date
04/08/2019
Last updated
02/26/2025
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