Individual provider · Type 1 NPI

Daniel Grant Reavis

Home Health Registered Nurse · Joplin, MO

NPI number 1104716844 Active

Practice location

5841 Suburban Ter
Joplin, MO 64804-6017

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X2016027488 (MO)

Home Health Registered Nurse: Definition to come...

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About NPI 1104716844

Daniel Grant Reavis's National Provider Identifier is 1104716844, issued on Jul 4, 2025. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Joplin, MO. The record was last updated on Jul 4, 2025.