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

Mrs. Jaclyn Nicole Montgomery, APRN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1043917297

Mrs. Jaclyn Nicole Montgomery, APRN, FNP-BC is a Nurse Practitioner in Cleveland, Tennessee. Qualified in 2022, 4 years ago. Practices with Blue Ridge Pulmonary Medicine, PC, a 4-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

110 Dunhill Pl NW
Cleveland, TN 37311-3866
Phone: (423) 476-2212
Fax: (423) 476-7022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 33639 (TN)

Record details

NPI number1043917297
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-BC
Sole proprietorYes
NPI enumeratedFebruary 8, 2023
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Blue Ridge Pulmonary Medicine, Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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