Provider Demographics
NPI:1669507604
Name:REEDER, JANET LORRAINE (PA)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LORRAINE
Last Name:REEDER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WILLOW STREET., SUITE #104
Mailing Address - Street 2:ARGENTA HEALTH CARE SERIVCES
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114
Mailing Address - Country:US
Mailing Address - Phone:501-771-4249
Mailing Address - Fax:501-771-1017
Practice Address - Street 1:2500 WILLOW STREET
Practice Address - Street 2:SUITE #104
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114
Practice Address - Country:US
Practice Address - Phone:501-771-4249
Practice Address - Fax:501-771-1017
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA-299363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR56884P168Medicare PIN
AR113033Medicare ID - Type Unspecified