JESSICA MONTGOMERY – NPI #1710390026
Nurse Practitioner

JESSICA MONTGOMERY is a nurse practitioner located in ELLICOTT CITY, MD. NPPES has assigned the NPI number 1710390026 to JESSICA MONTGOMERY on June 04, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was previously updated about 11 years ago on Sep 01, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSICA MONTGOMERY below.

NPI Profile for
JESSICA MONTGOMERY

NPI Number
1710390026
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JESSICA MONTGOMERY
Primary location
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042-3600
Phone: (814) 935-2792 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)		 PA F1113277

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.