Provider Demographics
NPI:1669073631
Name:REED, CHRISTY NICOLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:NICOLE
Last Name:REED
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 SILVER FOX LN
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-7944
Mailing Address - Country:US
Mailing Address - Phone:870-718-5895
Mailing Address - Fax:
Practice Address - Street 1:425 W CAPITOL AVE STE 435
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-3642
Practice Address - Country:US
Practice Address - Phone:501-209-8671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA006201363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care