Jenny Jackson Reid, CRNP Valid NPI

Individual provider · Pediatric Nurse Practitioner · Dothan, AL

NPI

1649449018

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

1-096455 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2008-02-29

Last updated

2008-02-29