| Doctor Name: | MRS. DEBORAH M. REAGAN |
| NPI Number: | 1003946781 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, ARNP-BC |
| License Number: | RN093831NP |
| Business Practice Address: | 1500 N Patterson St Vsu Student Health Center Valdosta, GA - 316980100 |
| Business Phone Number: | 2293335886 |
| Business Fax Number: | 2292492791 |
| Mailing Address: | 4721 Hummingbird Ln, VALDOSTA |
| State: | GA |
| Postal Code: | 316026766 |
| Phone Number: | 2292471082 |
| Fax Number: | 2292492791 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN093831NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |