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RENA D MONTGOMERY APN
NPI 1871728436
Nurse Practitioner in Southaven, MS

Active since May 26, 2009
125 GUTHRIE DR, SOUTHAVEN, MS 38671(901) 252-3400(901) 763-4305 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2020, Mar 27, 2017, Oct 19, 2016 (3 updates tracked since 2016).

About Rena D Montgomery Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENA D MONTGOMERY APN (NPI 1871728436) is an individual nurse practitioner in Southaven, Mississippi, licensed in Tennessee (APN14046) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1871728436
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRENA D MONTGOMERYCredential: APN
Location Address125 GUTHRIE DRSouthaven, MS 38671-5829
Mailing Address1325 Wolf Park Dr, Ste 103Germantown, TN 38138-1759 · (901) 252-3400 · Fax (901) 763-4305
Phone(901) 252-3400
Fax(901) 763-4305
Sole ProprietorNo
Enumeration DateMay 26, 2009
Last NPPES UpdateDecember 3, 20203 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
✔ NPI 1871728436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · APN14046
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinical Nurse Specialist · Women's HealthTaxonomy 364SW0102X · License APN14046 (TN)
125 GUTHRIE DR, Southaven, MS 38671
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA LEANNE REID PA-C
Physician Assistant
125 GUTHRIE DR
SOUTHAVEN, MS 38671
Desoto County (662) 349-1964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rena Montgomery's NPI number?

The NPI number for Rena Montgomery is 1871728436. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Rena Montgomery located?

Rena Montgomery practices at 125 Guthrie Dr, Southaven, MS 38671. The listed phone number is (901) 252-3400.

What is Rena Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Rena Montgomery was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.