MEDICARE: MRS. JANIE KAY REED 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
1	363LF0000X	Family Nurse Practitioner	26481	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548880776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANIE KAY REED FNP

Provider Business Mailing Address
First Line	:	434 W SHILOH CHURCH RD
Second Line	:
City	:	STANTONVILLE
State	:	TN
Zip	:	38379-5321
Country	:	US
Telephone Number	:	731-315-0407
Fax Number	:

Provider Business Practice Location Address
First Line	:	2062 PLEASANT PLAINS EXT RD STE E
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-6008
Country	:	US
Telephone Number	:	731-664-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2020
Last Update Date	:	10/27/2025

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