Individual
JULIE WATTS REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
Mailing address
150 COVEY RUN, MADISON, MS 39110
(662) 574-7820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R856685
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09505020
—
MS
Enumeration date
06/22/2006
Last updated
07/08/2007
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