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NPI Code Detail

MEDICARE: JAMAICA NIKKIA REID PA

MEDICARE: JAMAICA NIKKIA REID PA
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
1363A00000XPhysician Assistant
2363A00000XPhysician Assistant0010-10872NC

General Provider Information

NPI Number : 1477157089
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMAICA NIKKIA REID PA
Provider Business Mailing Address
First Line : 4213 SEDGEWYCK CIR
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23703-5516
Country : US
Telephone Number : 757-469-6001
Fax Number :
Provider Business Practice Location Address
First Line : 1638 OWEN DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3424
Country : US
Telephone Number : 910-615-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2020
Last Update Date : 06/11/2026

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Directions to “ JAMAICA NIKKIA REID PA” Practice Location

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