Individual
ANDREA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
121 VILLAGE DR, SUITE 101, PORTLAND, TN 37148-1418
(615) 325-2226
(615) 325-8885
Mailing address
783A N RUSSELL ST, PORTLAND, TN 37148-2014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13652
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510057
—
TN
Enumeration date
09/30/2008
Last updated
09/07/2011
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