Individual provider · Type 1 NPI
Jason Montgomery, NP-C
Family Nurse Practitioner · Pocatello, ID
NPI number
1013270792
Active
Practice location
777 Hospital Way
Pocatello, ID 83201-5175
Fax (208) 239-2580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP-1182A (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1013270792
Jason Montgomery, NP-C's National Provider Identifier is 1013270792, issued on Jun 19, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pocatello, ID. The record was last updated on Jun 21, 2016.