Montgomery, Jeanette Ruth

Montgomery, Jeanette Ruth is an individual health care provider with primary practice located at 12647 Olive Blvd Suite 600, Saint Louis MO 63141-6345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Montgomery, Jeanette Ruth can be contacted via phone (800) 325-3982.

Contact Information

Primary practice address
12647 Olive Blvd Suite 600 Saint Louis MO 63141-6345
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20040006-22 Minnesota

Profile Details

NPI number 1811972060
LBN Legal business name Montgomery, Jeanette Ruth
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 8th, 2007 - about 17 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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