Reid, Jacqueline R
Reid, Jacqueline R is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-2428. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Reid, Jacqueline R can be contacted via phone (615) 936-2000.Contact Information
Primary practice address
3601 The Vanderbilt Clinic
Nashville TN 37232-2428
Phone: (615) 936-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 16962 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
| NPI number | 1760731723 |
|---|---|
| LBN Legal business name | Reid, Jacqueline R |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2012 |
| Last updated | Mar 31st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760731723 | NPPES |
| Tennessee | Other | P01127642 | PALMETTO GBA PTAN |
| Tennessee | MEDICAID | Q000025 | PALMETTO GBA PTAN |
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