Individual
MICHELLE A REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1002 SPRING ST, JEFFERSONVILLE, IN 47130-3641
(186) 638-9272
(401) 652-9787
Mailing address
4203 GRAND CT, CRESTWOOD, KY 40014-9797
(502) 641-9428
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3440P
KY
363LF0000X
Family Nurse Practitioner
Primary
71002155A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3440P
LICENSE NUMBER
KY
01
—
71002155A
LICENSE NUMBER
IN
Enumeration date
08/15/2006
Last updated
08/05/2011
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