Individual
MRS. JONELL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 NORTH PLEASANT STREET, DECATURVILLE, TN 38329
(731) 852-2461
(731) 852-3794
Mailing address
155 NORTH PLEASANT STREET, P.O. BOX 178, DECATURVILLE, TN 38329
(731) 852-2461
(731) 852-3794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
41960
TN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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