Provider Demographics
NPI:1073158630
Name:REED, JERRY LYNN JR (APRN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:JERRY
Middle Name:LYNN
Last Name:REED
Suffix:JR
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
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Mailing Address - Street 1:431 D WARD RD
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-4808
Mailing Address - Country:US
Mailing Address - Phone:865-313-6290
Mailing Address - Fax:
Practice Address - Street 1:7480 ZIEGLER RD STE 150
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-4947
Practice Address - Country:US
Practice Address - Phone:423-933-2001
Practice Address - Fax:281-816-3417
Is Sole Proprietor?:No
Enumeration Date:2019-11-07
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006396208M00000X, 363LF0000X
TN26823363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist