Individual
JADE MONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, CNM
Contact information
Practice address
3200 NORTHLINE AVE STE 130, GREENSBORO, NC 27408-7600
(919) 360-3569
Mailing address
2017 PRICE CREEK RD, CHAPEL HILL, NC 27516-8016
(919) 360-3569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5007746
NC
367A00000X
Advanced Practice Midwife
Primary
CNM05541
NC
Other
Enumeration date
07/02/2015
Last updated
01/12/2020
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