Healthcare Provider Details

I. General information

NPI: 1730024803
Provider Name (Legal Business Name): CARMEN MONTROY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 MEDICAL CENTER DR
WEST POINT MS
39773-0428
US

IV. Provider business mailing address

838 HIGHWAY 341 S
VARDAMAN MS
38878-9790
US

V. Phone/Fax

Practice location:
  • Phone: 662-495-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number908359
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: