Individual provider · Type 1 NPI
Jacob C. Reedy, NP
Family Nurse Practitioner · Hayden, ID
NPI number
1114530565
Active
Practice location
1986 W. Hayden Ave
Hayden, ID 83835-7412
Fax (208) 762-7740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1010320 (TX) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Hayden
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- Erik Kelly, NP-CFamily Nurse Practitioner Hayden, ID NPI 1396195269
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About NPI 1114530565
Jacob C. Reedy, NP's National Provider Identifier is 1114530565, issued on Aug 26, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hayden, ID. The record was last updated on Dec 20, 2023.