| Doctor Name: | JANE F MONTGOMERY |
| NPI Number: | 1114183084 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN NP |
| License Number: | 230962 |
| Business Practice Address: | 6417 Memorial Dr Suite B Texas City, TX - 775914058 |
| Business Phone Number: | 2813392213 |
| Business Fax Number: | 2813354529 |
| Mailing Address: | Po Box 8567, BACLIFF |
| State: | TX |
| Postal Code: | 775188567 |
| Phone Number: | 2813392213 |
| Fax Number: | 2813354529 |
| NPI Enumeration Date: | 07/31/2008 |
| NPI Last Update Date: | 07/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 230962 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |