Montgomery, Jessica
Montgomery, Jessica is an individual health care provider with primary practice located at 3300 Centennial Ln , Ellicott City MD 21042-3600. 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, Jessica can be contacted via phone (814) 935-2792.Contact Information
Primary practice address
3300 Centennial Ln
Ellicott City MD 21042-3600
Phone: (814) 935-2792
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F1113277 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R218185 | Maryland |
Profile Details
| NPI number | 1710390026 |
|---|---|
| LBN Legal business name | Montgomery, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2014 |
| Last updated | Sep 1st, 2015 - about 11 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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