Individual provider · Type 1 NPI
Andrea Jane Montgomery, AGNP
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1265045264
Active
Practice location
444 Honeysuckle Ln
St. Louis, MO 63119-4521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2020028109 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1265045264
Andrea Jane Montgomery, AGNP's National Provider Identifier is 1265045264, issued on Aug 28, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on May 13, 2025.