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NPI Code Detail

MEDICARE: JUANITA REED MSN, RN, CRNP

MEDICARE: JUANITA REED MSN, RN, CRNP
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 Practitioner17851SC
2363L00000XNurse Practitioner5005548NC

General Provider Information

NPI Number : 1356616924
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUANITA REED MSN, RN, CRNP
Provider Business Mailing Address
First Line : 13304 LEESVILLE CHURCH RD
Second Line :
City : RALEIGH
State : NC
Zip : 27617-5206
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 13304 LEESVILLE CHURCH RD
Second Line :
City : RALEIGH
State : NC
Zip : 27617-5206
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2012
Last Update Date : 10/11/2021

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