JENNIFER J REID FNP NPI 1356437016

NPI Information

NPI: 1356437016
Provider Name: JENNIFER J REID, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
60 REMICK BLVD # 60
SPRINGBORO, OH
ZIP 45066
Phone: (937) 886-5510
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Jennifer J Reid, FNP is a family nurse practitioner in Springboro, OH with 26 years of experience. Jennifer J Reid, FNP NPI is 1356437016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

60 REMICK BLVD # 60
SPRINGBORO, OH
ZIP 45066-168
Phone: (937) 886-5510

The NPI 1356437016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	RN.433553	OHIO	No
2	163WR0006X	Registered Nurse	Registered Nurse First Assistant	RN46811	MAINE	No
3	363LF0000X	Nurse Practitioner	Family	CNP81285	MAINE	No
4	363LF0000X	Nurse Practitioner	Family	CNP.020268	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	411540099	MEDICAID	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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