Doctor Name: | JESSICA BRADHAW REINHARDT |
NPI Number: | 1396174843 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN205143 |
Business Practice Address: | 1000b Veterans Blvd Glennville, GA - 30427 |
Business Phone Number: | 9126544599 |
Business Fax Number: | 9126544648 |
Mailing Address: | 210 East Derenne Ave, SAVANNAH |
State: | GA |
Postal Code: | 31407 |
Phone Number: | 9126445300 |
Fax Number: | 9126445260 |
NPI Enumeration Date: | 11/05/2013 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN205143 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |