# FORGET-ME-NOT DEMENTIA CLINIC AND OTHER NEUROLOGY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forget Me Not Dementia clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013866847
- **Authorized official:** JENNIFER REEVES APRN (CEO/OWNER)
- **Authorized official phone:** (956) 793-3562

## Contact information

- **Practice address:** 2428 JENKS AVE STE B, PANAMA CITY, FL 32405-4304
- **Practice address phone:** (850) 215-4171
- **Practice address fax:** (850) 215-4191
- **Mailing address:** 2428 JENKS AVE STE B, PANAMA CITY, FL 32405-4304
- **Mailing address phone:** (850) 215-4171
- **Mailing address fax:** (850) 215-4191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/26/2026
- **Last updated:** 02/25/2026
