Provider Demographics
NPI:1619545423
Name:REEVE, VALERIE D'NELL (FNP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:D'NELL
Last Name:REEVE
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 1:500 COUNTY ROAD 355
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TX
Mailing Address - Zip Code:75951-7230
Mailing Address - Country:US
Mailing Address - Phone:409-381-9595
Mailing Address - Fax:
Practice Address - Street 1:1276 S PEACHTREE ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951-4916
Practice Address - Country:US
Practice Address - Phone:409-384-5701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX845040163W00000X
TX1044605363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse