Provider Demographics
NPI:1508351149
Name:REESE, REBEKAH (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:REESE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 NOTASULGA RD
Mailing Address - Street 2:
Mailing Address - City:TUSKEGEE
Mailing Address - State:AL
Mailing Address - Zip Code:36083-7131
Mailing Address - Country:US
Mailing Address - Phone:334-727-7211
Mailing Address - Fax:
Practice Address - Street 1:1201 NOTASULGA RD
Practice Address - Street 2:
Practice Address - City:TUSKEGEE
Practice Address - State:AL
Practice Address - Zip Code:36083-7131
Practice Address - Country:US
Practice Address - Phone:334-727-7211
Practice Address - Fax:334-727-7227
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN256157363LF0000X
AL1-134547363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily