Individual provider · Type 1 NPI
Jeanette Ruth Montgomery, C.N.P.
Family Nurse Practitioner · St. Louis, MO
NPI number
1811972060
Active
Practice location
12647 Olive Blvd, Suite 600
St. Louis, MO 63141-6345
Mailing address
8487 County Road 107
Nisswa, MN 56468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 20040006-22 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1811972060
Jeanette Ruth Montgomery, C.N.P.'s National Provider Identifier is 1811972060, issued on Dec 9, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.