Individual
JESSICA R REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, GNP
Contact information
Practice address
246 KENNEDY MEMORIAL DR, STE 202 EVERGEREEN FAMILY PRACTICE, WATERVILLE, ME 04901-4556
(207) 873-6655
(207) 877-9826
Mailing address
246 KENNEDY MEMORIAL DR, STE 202 EVERGEREEN FAMILY PRACTICE, WATERVILLE, ME 04901-4556
(207) 873-6655
(207) 877-9826
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R054879
ME
363LG0600X
Gerontology Nurse Practitioner
R054879
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433129799
—
ME
Enumeration date
08/13/2008
Last updated
12/01/2008
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