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Contact Information

DIANA M MONTGOMERY, APN
305 W. MAIN STREET
NEA BAPTIST CLINIC
TRUMANN, AR72472
 Phone: 870-483-6131
 Fax: 870-483-2573
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DIANA M MONTGOMERY · (Female)

NPI # 1457356347
Status Active
Credentials APN
Entity Individual
Enumeration date 06/16/2005
Last updated 02/17/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AR License # A01699
  • AR Medicaid 150983758
Hospital affiliation(s)
  • NEA BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    4800 EAST JOHNSON AVENUE
    JONESBORO, AR 72401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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