Healthcare Provider Details

I. General information

NPI: 1881513828
Provider Name (Legal Business Name): TOMIKA MONTGOMERY LINDON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2414 BUNKER HILL DR
BATON ROUGE LA
70808-3303
US

IV. Provider business mailing address

304 FIELD CREST PKWY
YOUNGSVILLE LA
70592-5663
US

V. Phone/Fax

Practice location:
  • Phone: 225-308-8080
  • Fax:
Mailing address:
  • Phone: 337-552-1075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number248121
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: