Provider Demographics
NPI:1841214913
Name:REECE, BARBARA J (RN)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:REECE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2500
Mailing Address - Street 2:
Mailing Address - City:YADKINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27055-2500
Mailing Address - Country:US
Mailing Address - Phone:336-679-4490
Mailing Address - Fax:336-679-3014
Practice Address - Street 1:524 E. MAIN ST.
Practice Address - Street 2:
Practice Address - City:YADKINVILLE
Practice Address - State:NC
Practice Address - Zip Code:27055
Practice Address - Country:US
Practice Address - Phone:336-679-4490
Practice Address - Fax:336-679-3014
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3345976163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409023Medicaid
NC6600596Medicaid
NC6601114Medicaid
NC6601113Medicaid
NC8301232Medicaid