Provider Demographics
NPI:1437424348
Name:REED, JOANN LANAE (MSN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:LANAE
Last Name:REED
Suffix:
Gender:F
Credentials:MSN, NP-C
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Other - First Name:
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Mailing Address - Street 1:1311 E BARNETT RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-8225
Mailing Address - Country:US
Mailing Address - Phone:541-779-5007
Mailing Address - Fax:541-779-5022
Practice Address - Street 1:1311 E BARNETT RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8225
Practice Address - Country:US
Practice Address - Phone:541-779-5007
Practice Address - Fax:541-779-5022
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2016-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR200340925RN163WR0006X
OR201509044NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant