IndividualActive
Ebony Montgomery, APRN
NPI 1629531595 · Gerontology Nurse Practitioner · Jacksonville, AR
Provider details
- NPI number
- 1629531595
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 125407 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1410 Braden Street
Jacksonville, AR 72076
Phone: (870) 280-2578
Fax: (844) 447-2520
Approximate (ZIP-level) locationGet directions
Mailing address
500 Sw 7th St Stea205
Renton, WA 98057
Registry dates
- Enumerated
- 2019-04-08
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.