Healthcare Provider Details
I. General information
NPI: 1700568151
Provider Name (Legal Business Name): JENAE REECE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/04/2023
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1055 S WELLS AVE
RENO NV
89502-2550
US
IV. Provider business mailing address
680 S ROCK BLVD
RENO NV
89502-4113
US
V. Phone/Fax
- Phone: 775-329-6300
- Fax:
- Phone: 775-329-6300
- Fax: 775-348-3896
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC0200X |
| Taxonomy | Critical Care Medicine Registered Nurse |
| License Number | RN94670 |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 870266 |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: