Provider Demographics
NPI:1902886435
Name:HUCKSTEP-REED, CHERI JEAN (APRN, BC, FNP)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:JEAN
Last Name:HUCKSTEP-REED
Suffix:
Gender:F
Credentials:APRN, BC, FNP
Other - Prefix:
Other - First Name:CHERI
Other - Middle Name:JEAN
Other - Last Name:HUCKSTEP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1839
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63702-1839
Mailing Address - Country:US
Mailing Address - Phone:573-335-2229
Mailing Address - Fax:573-339-8768
Practice Address - Street 1:1121 LINDEN ST
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-7708
Practice Address - Country:US
Practice Address - Phone:573-335-2229
Practice Address - Fax:573-339-8768
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORN057095363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
155530OtherBC/BS PROVIDER
MO425255908Medicaid