Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwendolyn Elaine Montgomery, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1629635859

Gwendolyn Elaine Montgomery, NURSEPRACTITIONER is an Acute Care Nurse Practitioner in Ellenwood, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019

Practice location Address checks out

3962 Busby Mill Ct
Ellenwood, GA 30294-2052
Phone: (404) 314-7295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN176860 (GA)

Record details

NPI number1629635859
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 23, 2019
Last updated in NPPESNovember 27, 2023
Certification dateFebruary 29, 2020

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