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

Mrs. Kia Danielle Montgomery, NP

Individual provider Registered Nurse · NPI 1588297873

Mrs. Kia Danielle Montgomery, NP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2020
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

350 W Woodrow Wilson Ave Ste 411
Jackson, MS 39213-7681
Phone: (601) 432-3070
Fax: (601) 364-2659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 904981 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 893817 (MS)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 893817 (MS)

Record details

NPI number1588297873
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 15, 2020
Last updated in NPPESOctober 26, 2021
Certification dateOctober 22, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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