Healthcare Provider Details

I. General information

NPI: 1851205538
Provider Name (Legal Business Name): JAYLYN REED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 NATCHEZ TRACE DR
LEXINGTON TN
38351-1874
US

IV. Provider business mailing address

512 ROLAND AVE
JACKSON TN
38301-4302
US

V. Phone/Fax

Practice location:
  • Phone: 731-693-8340
  • Fax:
Mailing address:
  • Phone: 731-668-0411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: