Individual
JANA A REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610
(352) 265-0751
(352) 265-0556
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9169498
FL
363LA2200X
Adult Health Nurse Practitioner
RN9169498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023720100
—
FL
Enumeration date
08/23/2006
Last updated
08/30/2018
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