Individual
MR. JACOB EUGENE REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
603 S BISHOP AVE, ROLLA, MO 65401-4320
(573) 426-4411
(573) 426-4403
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025004660
MO
Other
Enumeration date
01/14/2025
Last updated
02/25/2025
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