Individual
MISS JACQUELINE DENISE REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/MHT
Contact information
Practice address
5471 BROMWICK DR, TROTWOOD, OH 45426-1913
(937) 389-9008
Mailing address
5471 BROMWICK DR, TROTWOOD, OH 45426-1913
(937) 389-9008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
362282
OH
163WC0400X
Case Management Registered Nurse
362282
OH
163WG0600X
Gerontology Registered Nurse
362282
OH
163WH0200X
Home Health Registered Nurse
362282
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
362282
OH
Other
Enumeration date
09/05/2012
Last updated
09/24/2012
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