| Doctor Name: | MISS JACQUELINE DENISE REESE |
| NPI Number: | 1447509468 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN/MHT |
| License Number: | 362282 |
| Business Practice Address: | 5471 Bromwick Dr Trotwood, OH - 454261913 |
| Business Phone Number: | 9373899008 |
| Business Fax Number: | |
| Mailing Address: | 5471 Bromwick Dr, TROTWOOD |
| State: | OH |
| Postal Code: | 454261913 |
| Phone Number: | 9373899008 |
| Fax Number: | |
| NPI Enumeration Date: | 09/05/2012 |
| NPI Last Update Date: | 09/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 362282 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |