Provider Demographics
NPI:1114492220
Name:REED, JOEY BROOKE (FNP)
Entity Type:Individual
Prefix:
First Name:JOEY
Middle Name:BROOKE
Last Name:REED
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 N CHILLICOTHE ST
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-1045
Mailing Address - Country:US
Mailing Address - Phone:614-873-6700
Mailing Address - Fax:614-873-6790
Practice Address - Street 1:209 N CHILLICOTHE ST
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-1045
Practice Address - Country:US
Practice Address - Phone:614-873-6700
Practice Address - Fax:614-873-6790
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.022700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily