MEDICARE: JILL ANN REID 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	163W00000X	Registered Nurse	261620	NC

General Provider Information

NPI Number	:	1710833827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL ANN REID FNP

Provider Business Mailing Address
First Line	:	3294 OVERBROOK DR
Second Line	:
City	:	CONOVER
State	:	NC
Zip	:	28613-8222
Country	:	US
Telephone Number	:	828-413-9114
Fax Number	:

Provider Business Practice Location Address
First Line	:	2660 TATE BLVD SE STE 201
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-1466
Country	:	US
Telephone Number	:	704-659-7860
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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