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NPI Code Detail

MEDICARE: JORDAN MONTOYA FNP

MEDICARE: JORDAN MONTOYA FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerAP138132TX

General Provider Information

NPI Number : 1881173037
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN MONTOYA FNP
Provider Business Mailing Address
First Line : 1505 SW 60TH AVE
Second Line :
City : AMARILLO
State : TX
Zip : 79118-8324
Country : US
Telephone Number : 806-663-3527
Fax Number :
Provider Business Practice Location Address
First Line : 7501 FANNIN ST STE 705
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1958
Country : US
Telephone Number : 713-589-5283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2018
Last Update Date : 10/24/2018

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