Doctor Name: | EMILY A. MONTGOMERY |
NPI Number: | 1003232539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 18547 |
Business Practice Address: | 9333 Park West Blvd Knoxville, TN - 379234341 |
Business Phone Number: | 8655314600 |
Business Fax Number: | 8656902271 |
Mailing Address: | 1225 E Weisgarber Rd, Suite 200 KNOXVILLE |
State: | TN |
Postal Code: | 379092604 |
Phone Number: | 8655844747 |
Fax Number: | 8655841363 |
NPI Enumeration Date: | 03/07/2014 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 18547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |