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NPI Code Detail

MEDICARE: MRS. HEIDI YVONNE REESE FNP

MEDICARE: MRS. HEIDI YVONNE REESE FNP
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 PractitionerRN200200GA
2363L00000XNurse PractitionerCNP241715ME

General Provider Information

NPI Number : 1376167601
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEIDI YVONNE REESE FNP
Provider Business Mailing Address
First Line : 3160 COLORADO DR
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127-1558
Country : US
Telephone Number : 770-668-3371
Fax Number :
Provider Business Practice Location Address
First Line : 687 JOHNSON FERRY RD
Second Line :
City : MARIETTA
State : GA
Zip : 30068-4628
Country : US
Telephone Number : 770-977-9220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2020
Last Update Date : 04/13/2026

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