Individual
JESSICA ANITA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 ENDEAVOR BLVD, STENNIS SPACE CENTER, MS 39529-3048
(228) 813-4000
Mailing address
2105 ENDEAVOR BLVD, STENNIS SPACE CENTER, MS 39529-0001
(601) 832-4909
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
CA
1710I1002X
Independent Duty Corpsman
Primary
—
MS
1710I1002X
Independent Duty Corpsman
—
—
Other
Enumeration date
04/30/2015
Last updated
07/02/2024
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