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General NPI Number Information
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NPI Number | 1629553243
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Entity Type | Individual
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Provider Name | JENNA REEDER NP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 109 N 12TH ST FL 8
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City | BROOKLYN
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State | NY
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Zip | 11249-1008
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Country | US
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Telephone | 917-242-4709
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Fax |
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Provider Business Mailing Address
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Address Line | 425 PAGE MILL RD
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City | PALO ALTO
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State | CA
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Zip | 94306-2074
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Country | US
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Telephone | 917-242-4709
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95062837
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404419
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License Number State | NY
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