Individual
JACQUELINE R REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2428
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
16962
TN
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01127642
PALMETTO GBA PTAN
TN
05
—
Q000025
—
TN
Enumeration date
09/06/2012
Last updated
03/31/2022
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