MEDICARE: HOPE JESSICA MONTOYA CNP

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
1	363LF0000X	Family Nurse Practitioner	60846	NM

General Provider Information

NPI Number	:	1396355996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE JESSICA MONTOYA CNP

Provider Business Mailing Address
First Line	:	9301 INDIAN SCHOOL RD NE STE 206
Second Line	:	SUITE 206
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-2861
Country	:	US
Telephone Number	:	505-718-9049
Fax Number	:	505-209-7905

Provider Business Practice Location Address
First Line	:	9301 INDIAN SCHOOL RD NE STE 206
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-2861
Country	:	US
Telephone Number	:	505-718-9049
Fax Number	:	505-209-7905

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2020
Last Update Date	:	12/19/2025

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