Provider Demographics
NPI:1851637839
Name:REEVES, TREVA PICKRELL (CPNP-AC)
Entity Type:Individual
Prefix:
First Name:TREVA
Middle Name:PICKRELL
Last Name:REEVES
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:TREVA
Other - Middle Name:TANNER
Other - Last Name:PICKRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 7TH AVE S # ACC400
Mailing Address - Street 2:LOWDER BUILDING
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1711
Mailing Address - Country:US
Mailing Address - Phone:205-638-9653
Mailing Address - Fax:205-638-6128
Practice Address - Street 1:1600 7TH AVE S # ACC400
Practice Address - Street 2:LOWDER BUILDING
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-638-9653
Practice Address - Fax:205-638-6128
Is Sole Proprietor?:No
Enumeration Date:2012-12-20
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-115287363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care