Individual
JEANNIE LYNNE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1750 W 4TH ST, ONTARIO, OH 44906-1770
(419) 526-8111
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0808015
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082553
—
OH
Enumeration date
10/05/2008
Last updated
12/15/2021
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