Montgomery, Janessa Annette

Montgomery, Janessa Annette is an sole proprietor health care provider with primary practice located at 5510 Utica Ridge Rd , Davenport IA 52807-2946. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Montgomery, Janessa Annette can be contacted via phone (563) 424-2025.

Contact Information

Primary practice address
5510 Utica Ridge Rd Davenport IA 52807-2946
Phone: (563) 424-2025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C154761 Iowa

Profile Details

NPI number 1225679012
LBN Legal business name Montgomery, Janessa Annette
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2019
Last updated Oct 2nd, 2019 - about 7 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 1225679012 NPPES
Iowa Other C154761 STATE LICENSE

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