Montgomery, Latrena

Montgomery, Latrena is an individual health care provider with primary practice located at 105 Varese Pl , Madison MS 39110. 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, Latrena can be contacted via phone (601) 622-8182.

Contact Information

Primary practice address
105 Varese Pl Madison MS 39110
Phone: (601) 622-8182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R881572 Mississippi

Profile Details

NPI number 1346621075
LBN Legal business name Montgomery, Latrena
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2015
Last updated Dec 6th, 2021 - about 3 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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