Individual
JESSICA K REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(402) 499-3969
(928) 773-2479
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(402) 499-3969
(928) 773-2479
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP3923
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
799034
—
AZ
Enumeration date
03/23/2011
Last updated
03/15/2017
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