Montana, Jade
Montana, Jade is an sole proprietor health care provider with primary practice located at 3200 Northline Ave Ste 130 , Greensboro NC 27408-7600. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Montana, Jade can be contacted via phone (919) 360-3569.Contact Information
Primary practice address
3200 Northline Ave Ste 130
Greensboro NC 27408-7600
Phone: (919) 360-3569
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5007746 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | CNM05541 | North Carolina |
Profile Details
NPI number | 1679956015 |
---|---|
LBN Legal business name | Montana, Jade |
Credentials | NP, CNM |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2015 |
Last updated | Jan 12th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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