Individual
DR. JUANDRIA NICOLE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6025 STAGE RD STE 42-346, BARTLETT, TN 38134-8374
(901) 443-7353
Mailing address
6447 SATJANON DR, OOLTEWAH, TN 37363-7241
(423) 443-1145
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
A-3404511
—
363LF0000X
Family Nurse Practitioner
17626
TN
363LF0000X
Family Nurse Practitioner
Primary
274081
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6011441
BLUE CROSS AND BLUE SHIELD
TN
05
—
Q001302
—
TN
Enumeration date
03/28/2007
Last updated
12/28/2022
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