Healthcare Provider Details

I. General information

NPI: 1619550308
Provider Name (Legal Business Name): STEVEN REED FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 PINEHILL RD
JENA LA
71342-4137
US

IV. Provider business mailing address

422 NATION RD
DEVILLE LA
71328-9048
US

V. Phone/Fax

Practice location:
  • Phone: 318-992-7607
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number219159
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: