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NPI Code Detail

MEDICARE: JACQUELINE J REED A.R.N.P.

MEDICARE: JACQUELINE J REED A.R.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner44992KS

General Provider Information

NPI Number : 1952353260
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE J REED A.R.N.P.
Provider Business Mailing Address
First Line : 1905 19TH ST
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-2502
Country : US
Telephone Number : 620-792-5700
Fax Number : 620-792-5700
Provider Business Practice Location Address
First Line : 755 W LINCOLN ST
Second Line :
City : WICHITA
State : KS
Zip : 67213-4527
Country : US
Telephone Number : 316-866-2000
Fax Number : 316-866-2084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 12/18/2019

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