Provider Demographics
NPI:1659822294
Name:REEDUS, FRANK III
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:REEDUS
Suffix:III
Gender:M
Credentials:
Other - Prefix:PROF
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:REEDUS
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:NP-BC
Mailing Address - Street 1:202 WINDSOR TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2254
Mailing Address - Country:US
Mailing Address - Phone:615-673-0037
Mailing Address - Fax:
Practice Address - Street 1:202 WINDSOR TERRACE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-2254
Practice Address - Country:US
Practice Address - Phone:615-673-0037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-19
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-03128363LF0000X
TNAPN0000019633363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily