Individual
MRS. JESSICA NICOLE REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12939 E 116TH ST N, COLLINSVILLE, OK 74021-5278
(918) 727-2800
Mailing address
10904 E 118TH ST N, COLLINSVILLE, OK 74021-4827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5149
OK
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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