Individual
MS. NICOLE JEANNELLE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 263-2824
(970) 263-2819
Mailing address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 263-2824
(970) 263-2819
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR.0058737
CO
2084P0800X
Psychiatry Physician
MD20950
ME
Other
Enumeration date
04/08/2012
Last updated
07/21/2022
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