NPI 1063769677

Michelle Lee Montgomery, LPN

Practitioner Licensed Practical Nurse Tupelo, MS

Practice location

Address: 2434 S Eason Blvd, Tupelo, MS 38804-6942
Phone: (662) 844-1717
Fax: (662) 844-3612

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence P321809 (MS)

Other Licensed Practical Nurse providers in Mississippi →

Registry record

NPI: 1063769677
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2012
Record last updated: 14 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.