Healthcare Provider Details

I. General information

NPI: 1396355996
Provider Name (Legal Business Name): HOPE JESSICA MONTOYA CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2020
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 INDIAN SCHOOL RD NE STE 206
ALBUQUERQUE NM
87112-2861
US

IV. Provider business mailing address

9301 INDIAN SCHOOL RD NE STE 206 SUITE 206
ALBUQUERQUE NM
87112-2861
US

V. Phone/Fax

Practice location:
  • Phone: 505-718-9049
  • Fax: 505-209-7905
Mailing address:
  • Phone: 505-718-9049
  • Fax: 505-209-7905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number60846
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: