MRS. KIA DANIELLE MONTGOMERY NP NPI 1588297873

NPI Information

  • NPI: 1588297873
  • Provider Name: MRS. KIA DANIELLE MONTGOMERY, NP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 350 W WOODROW WILSON AVE STE 411
    JACKSON, MS
    ZIP 39213
  • Phone: (601) 432-3070

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NPI Details

MRS. Kia Danielle Montgomery, NP is a women's health nurse practitioner in Jackson, MS. MRS. Kia Danielle Montgomery, NP NPI is 1588297873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

350 W WOODROW WILSON AVE STE 411
JACKSON, MS
ZIP 39213-681
Phone: (601) 432-3070
Fax: (601) 364-2659

The NPI 1588297873 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2020 and was last updated on 10/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse893817MISSISSIPPINo
2363LW0102XNurse PractitionerWomen's Health893817MISSISSIPPINo
3363LW0102XNurse PractitionerWomen's Health904981MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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