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Contact Information

RENA D MONTGOMERY, APN
125 GUTHRIE DR
SOUTHAVEN, MS38671-5829
 Phone: 901-252-3400
 Fax: 901-763-4305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Women's Health

364SW0102X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for RENA D MONTGOMERY · (Female)

NPI Number 1871728436
Status Active
Credentials APN
Entity Individual
Enumeration date 05/26/2009
Last updated 12/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TN License # APN14046
Hospital affiliation(s) Not Available
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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