JESSICA R REED MSN GNP NPI 1609022474

NPI Information

NPI: 1609022474
Provider Name: JESSICA R REED, MSN, GNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
246 KENNEDY MEMORIAL DR
STE 202 EVERGEREEN FAMILY PRACTICE
WATERVILLE, ME
ZIP 04901
Phone: (207) 873-6655
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Jessica R Reed, MSN, GNP is a family nurse practitioner in Waterville, ME. Jessica R Reed, MSN, GNP NPI is 1609022474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

246 KENNEDY MEMORIAL DR
STE 202 EVERGEREEN FAMILY PRACTICE
WATERVILLE, ME
ZIP 04901-556
Phone: (207) 873-6655
Fax: (207) 877-9826

The enumeration date for this NPI number is 8/13/2008 and was last updated on 12/1/2008.

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	363LG0600X	Nurse Practitioner	Gerontology	R054879	MAINE	No
2	363LF0000X	Nurse Practitioner	Family	R054879	MAINE	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	433129799	MEDICAID	MAINE
2	000816101	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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