Provider Demographics
NPI:1992394407
Name:REEVES, JAMES F (RN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:REEVES
Suffix:
Gender:M
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 183
Mailing Address - Street 2:
Mailing Address - City:GREENTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44630-0183
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9635 CLEVELAND AVE NW
Practice Address - Street 2:
Practice Address - City:GREENTOWN
Practice Address - State:OH
Practice Address - Zip Code:44630-9800
Practice Address - Country:US
Practice Address - Phone:330-614-2334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN235114163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health