Montgomery, Rena D

Montgomery, Rena D is an individual health care provider with primary practice located at 125 Guthrie Dr , Southaven MS 38671-5829. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Montgomery, Rena D can be contacted via phone (901) 252-3400.

Contact Information

Primary practice address
125 Guthrie Dr Southaven MS 38671-5829
Phone: (901) 252-3400
Fax: (901) 763-4305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN14046 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X APN14046 Tennessee

Profile Details

NPI number 1871728436
LBN Legal business name Montgomery, Rena D
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2009
Last updated Dec 3rd, 2020 - about 5 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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