Montgomery, Jo Leah

Montgomery, Jo Leah is an individual health care provider with primary practice located at 3108 Midway Rd Ste 104, Plano TX 75093-6383. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Registered Nurse First Assistant, Nursing Service Providers / Orthopedic. Nursing Service Providers / Registered Nurse First Assistant is her primary health care specialty. Montgomery, Jo Leah can be contacted via phone (214) 781-1777.

Contact Information

Primary practice address
3108 Midway Rd Ste 104 Plano TX 75093-6383
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 623984 Texas
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 623984 Texas
Nursing Service Providers / Orthopedic 163WX0800X 623984 Texas

Profile Details

NPI number 1811010580
LBN Legal business name Montgomery, Jo Leah
Credentials Certified Registered Nurse, First Assistant (CRNFA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Oct 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811010580 NPPES
Texas Other 8N8090 BCBS

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