Provider Demographics
NPI:1306221213
Name:REECE, JANET MARIE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:MARIE
Last Name:REECE
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 1:19091 STATE HIGHWAY 58 N
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TN
Mailing Address - Zip Code:37322-7843
Mailing Address - Country:US
Mailing Address - Phone:423-744-4118
Mailing Address - Fax:
Practice Address - Street 1:17619 STATE HIGHWAY 58 N
Practice Address - Street 2:SUITE C
Practice Address - City:DECATUR
Practice Address - State:TN
Practice Address - Zip Code:37322-7885
Practice Address - Country:US
Practice Address - Phone:423-334-2300
Practice Address - Fax:423-454-0125
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000019176363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily