Individual
MRS. JENNIFER LEIGH REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
60699055
WA
163WN0002X
Neonatal Intensive Care Registered Nurse
200441874
OR
363LF0000X
Family Nurse Practitioner
10000620
OR
363LF0000X
Family Nurse Practitioner
Primary
CNP241693
ME
Other
Enumeration date
10/23/2020
Last updated
11/06/2025
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