Individual provider · Type 1 NPI
Latrena Montgomery, FNP-C
Family Nurse Practitioner · Madison, MS
NPI number
1346621075
Active
Practice location
105 Varese Pl
Madison, MS 39110
Mailing address
1668 W Peace St
Canton, MS 39046-5332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R881572 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1346621075
Latrena Montgomery, FNP-C's National Provider Identifier is 1346621075, issued on Jun 18, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Madison, MS. The record was last updated on Dec 6, 2021.