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

Mrs. Ebony Monique Montgomery, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1629531595

Mrs. Ebony Monique Montgomery, APRN is a Nurse Practitioner in Jacksonville, Arkansas. Qualified in 2020, 6 years ago. Practices with Ideal Telemedicine Services LLC, a 51-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
6
Licensed in
AR
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

1410 Braden St
Jacksonville, AR 72076
Phone: (870) 280-2578
Fax: (844) 447-2520
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 125407 (AR)

Record details

NPI number1629531595
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ideal Telemedicine Services Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare