Individual
JENNA REEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
109 N 12TH ST FL 8, BROOKLYN, NY 11249-1008
(917) 242-4709
Mailing address
425 PAGE MILL RD, PALO ALTO, CA 94306-2074
(917) 242-4709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95062837
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404419
NY
Other
Enumeration date
09/28/2018
Last updated
01/06/2026
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