Provider Demographics
NPI:1023766706
Name:REED, TERENCE JEROME
Entity type:Individual
Prefix:
First Name:TERENCE
Middle Name:JEROME
Last Name:REED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9743 W ROCKTON CIR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2233
Mailing Address - Country:US
Mailing Address - Phone:504-491-0059
Mailing Address - Fax:
Practice Address - Street 1:9743 W ROCKTON CIR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-2233
Practice Address - Country:US
Practice Address - Phone:504-491-0059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-12
Last Update Date:2022-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant