Provider Demographics
NPI:1043388820
Name:REEVES, JENNIFER FLYNN (PA-C, MPAS)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:FLYNN
Last Name:REEVES
Suffix:
Gender:F
Credentials:PA-C, MPAS
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Mailing Address - Street 1:PO BOX 751461
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1461
Mailing Address - Country:US
Mailing Address - Phone:843-792-6200
Mailing Address - Fax:
Practice Address - Street 1:171 ASHLEY AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-6130
Practice Address - Country:US
Practice Address - Phone:843-792-3361
Practice Address - Fax:843-792-9783
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2020-10-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC1174363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant