| Doctor Name: | JENNIFER MONTOURE |
| NPI Number: | 1225496144 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP, FNP-C |
| License Number: | AP60627768 |
| Business Practice Address: | 531 Adams St Morton, WA - 983569323 |
| Business Phone Number: | 3604965145 |
| Business Fax Number: | 3604965093 |
| Mailing Address: | Po Box 1099, MORTON |
| State: | WA |
| Postal Code: | 983560018 |
| Phone Number: | 3604965145 |
| Fax Number: | 3604965093 |
| NPI Enumeration Date: | 02/05/2016 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP60627768 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |