Individual
JESSICA LAURA REAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
7777 FOREST LN STE C339, DALLAS, TX 75230-2544
(972) 566-8855
Mailing address
7777 FOREST LN STE C339, DALLAS, TX 75230-2544
(972) 566-8855
(972) 566-7509
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139781
TX
Other
Enumeration date
11/20/2018
Last updated
01/21/2019
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