Individual provider · Type 1 NPI
Gwendolyn Elaine Montgomery, NURSE PRACTITIONER
Acute Care Nurse Practitioner · Ellenwood, GA
NPI number
1629635859
Active
Practice location
3962 Busby Mill Ct
Ellenwood, GA 30294-2052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN176860 (GA) |
Acute Care Nurse Practitioner: Definition to come...
Another provider at this address
Other acute care nurse practitioner providers in Ellenwood
About NPI 1629635859
Gwendolyn Elaine Montgomery, NURSE PRACTITIONER's National Provider Identifier is 1629635859, issued on May 23, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Ellenwood, GA. The record was last updated on Nov 27, 2023.