JENNY MARIE REID


Address: 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910
Phone: 2296716164

JENNY MARIE REID (NPI# 1629600432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629600432
Entity Type Individual
Full Name JENNY MARIE REID
Other Name JENNY KIRKLAND REID
Credential PMHNP
Practice Address 3120 N Oak Street Ext Ste B
Valdosta
GA 31602-5910
Mailing Address Po Box 5721
Valdosta
GA 31603-5721
Practice Telephone 2296716164
Enumeration Date 2020-02-10
Last Update Date 2020-02-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
128376 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNY REID

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1497157333 Jenny Reid Case Manager/Care Coordinator 3132 Jefferson St, San Diego, CA 92110-4421 2014-09-23
1447555073 Jenny E Reid Nurse Practitioner 2325 Garfield Rd N, Traverse City, MI 49686-5178 2011-01-12
1649449018 Jenny Jackson Reid Nurse Practitioner 364 Honeysuckle Rd, Dothan, AL 36305-1140 2008-02-29

Office Location

Street Address 3120 N OAK STREET EXT STE B
City VALDOSTA
State GA
Zip Code 31602-5910

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982786224 Paresh Thanki Psychiatry & Neurology 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 2006-10-19
1164038535 Emily Crawford Marriage & Family Therapist 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 2020-09-21
1871103192 Lori Allison Keith Social Worker 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 2020-08-01
1962020958 Kaitlyn Floyd Marriage & Family Therapist 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 2020-07-07
1902367824 Maria Guadalupe Castaneda Social Worker 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 2019-03-26
1578020616 Jorden Linsey Milne Social Worker 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 2019-02-25
1174099535 Holly Elizabeth Jones Counselor 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 2018-10-23
1194291625 Andrew J Courson Counselor 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 2018-10-23
1205333424 Shelby Lane Elder Nurse Practitioner 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 2018-04-13
1679089320 Mallory M Sims Marriage & Family Therapist 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 2017-12-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477198117 Amber Michele Baugh Behavior Technician 2236 Bemiss Road, Valdosta, GA 31602 2019-11-15
1528611365 Nishaben T. Patel Nurse Practitioner 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 2019-07-22
1427615871 Blair Elizabeth Tomlinson Nurse Practitioner 2124 Lakeshore Drive, Valdosta, GA 31602 2019-05-21
1346704152 Mildred Itaska Borowski Counselor 3790 North Highway 41, Suite A, Valdosta, GA 31602 2019-01-25
1962991703 Southern Healthcare Alliance, LLC Physical Medicine & Rehabilitation 101-f W. Northside Drive, Valdosta, GA 31602 2018-05-08
1336636646 Kaitlyn Thrift Behavioral Analyst 2225 Bemiss Road Suite D, Valdosta, GA 31602 2018-04-23
1407379845 Lindsey Marie Richardson Dentist 103 W. Cranford Ave, Valdosta, GA 31602 2017-07-18
1962922427 Taylor Nicole Fiveash Nurse Practitioner 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 2017-06-26
1720520646 Southern Sleepers Anesthesia LLC Nurse Anesthetist, Certified Registered 4120-b N. Valdosta Road, Valdosta, GA 31602 2016-11-09
1134670557 Cataract and Laser Surgery Center of South Georgia, P.C. Clinic/Center 4120-b N. Valdosta Rd., Valdosta, GA 31602 2016-10-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205333424 Shelby Lane Elder Nurse Practitioner 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 2018-04-13
1154878866 Daniel Haney Nurse Practitioner 2704 N Oak St, Suite B-3, Valdosta, GA 31602-1744 2016-09-10
1083071898 Julene Dorothy Smith Nurse Practitioner 2209 Pineview Dr, Valdosta, GA 31602-7316 2016-01-25
1174523005 Judy Bickers Nurse Practitioner 3541 N Crossing Cir, Valdosta, GA 31602-1019 2005-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336740398 Audline Maria Hodnett Nurse Practitioner 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 2020-11-05
1073111845 George Mackel, Pmhnp-bc, LLC Nurse Practitioner 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 2020-10-14
1356958060 Earl Delk Nurse Practitioner 3365 Ridgerock Way, Snellville, GA 30078-4176 2020-09-26
1609482991 Tammy Haskins Bailey Nurse Practitioner 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 2020-09-22
1861007403 Caring Clinic LLC Nurse Practitioner 114 Wrights Dr, Milledgeville, GA 31061 2020-09-10
1376156364 Katrina Ransom Clark Nurse Practitioner 120 Walker Dr Nw, Milledgeville, GA 31061-9561 2020-08-28
1457963746 Evelyn Ahiante Dennis Nurse Practitioner 3325 Emden Ct, Snellville, GA 30039-6047 2020-08-19
1194335620 Jennifer Logan Nurse Practitioner 424 Scotts Way, Augusta, GA 30909-3135 2020-08-10
1750991592 Jamie Rae Mccracken Nurse Practitioner 2538 Gordon Cir Se, Smyrna, GA 30080-8123 2020-08-06
1285244608 Amcare Substance Abuse and Addiction Counseling Nurse Practitioner 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 2020-08-01
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Competitor

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City VALDOSTA
Zip Code 31602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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