Provider Demographics
NPI:1811797152
Name:REED, JESSIE LEE
Entity type:Individual
Prefix:MS
First Name:JESSIE
Middle Name:LEE
Last Name:REED
Suffix:
Gender:
Credentials:
Other - Prefix:MISS
Other - First Name:JESSIE
Other - Middle Name:LEE
Other - Last Name:STITES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19652 W KELLEY AVE
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:NE
Mailing Address - Zip Code:69143-4354
Mailing Address - Country:US
Mailing Address - Phone:308-530-2704
Mailing Address - Fax:
Practice Address - Street 1:19652 W KELLEY AVE
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:NE
Practice Address - Zip Code:69143-4354
Practice Address - Country:US
Practice Address - Phone:308-530-2704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant