Individual
JORDY RUANE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3621 ARAMINGO AVE STE 5C, PHILADELPHIA, PA 19134-4607
(215) 444-7472
Mailing address
PO BOX 746722, ATLANTA, GA 30374-6722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP034685
PA
390200000X
Student in an Organized Health Care Education/Training Program
26NR18721300
NJ
Other
Enumeration date
03/17/2025
Last updated
03/16/2026
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