Individual
BLAKELY REEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5201 NORTHSHORE DR, N LITTLE ROCK, AR 72118-5312
(877) 918-7020
(479) 968-1673
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(866) 601-8435
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005358
AR
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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