Individual provider · Type 1 NPI

Penelope Montgomery

Registered Nurse · Southaven, MS

NPI number 1154230688 Active

Practice location

391 Southcrest Cir Ste 200
Southaven, MS 38671-6729

Fax (662) 996-1209

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X857656 (MS)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1154230688

Penelope Montgomery's National Provider Identifier is 1154230688, issued on Sep 2, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Southaven, MS. The record was last updated on Sep 2, 2026.