Individual
JENNA LEANNE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 GUTHRIE DR, SOUTHAVEN, MS 38671-5829
(662) 349-1964
(901) 763-4305
Mailing address
1325 WOLF PARK DRIVE, SUITE 103, GERMANTOWN, TN 38138
(901) 252-3400
(901) 763-4305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
09/16/2024
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