Individual
MRS. JENNY JACKSON REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
364 HONEYSUCKLE RD, DOTHAN, AL 36305-1140
(334) 794-8656
(334) 671-4957
Mailing address
364 HONEYSUCKLE RD, DOTHAN, AL 36305-1140
(334) 794-8656
(334) 671-4957
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-096455
AL
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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