Reedy, Nancy Jo

Reedy, Nancy Jo is an individual health care provider with primary practice located at 1650 W. Magnolia Suite 212, Fort Worth TX 76104-4011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Reedy, Nancy Jo can be contacted via phone (817) 923-3633.

Contact Information

Primary practice address
1650 W. Magnolia Suite 212 Fort Worth TX 76104-4011
Phone: (817) 923-3633
Fax: (817) 923-3504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 224135 Texas

Profile Details

NPI number 1679598494
LBN Legal business name Reedy, Nancy Jo
Credentials RN, CNM, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 30th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679598494 NPPES
Texas MEDICAID 120711007
Texas Other 420001836

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