Provider Demographics
NPI:1548880776
Name:REED, JANIE KAY (FNP)
Entity type:Individual
Prefix:MRS
First Name:JANIE
Middle Name:KAY
Last Name:REED
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:434 W SHILOH CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:STANTONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38379-5321
Mailing Address - Country:US
Mailing Address - Phone:731-315-0407
Mailing Address - Fax:
Practice Address - Street 1:2062 PLEASANT PLAINS EXT RD STE E
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-6008
Practice Address - Country:US
Practice Address - Phone:731-664-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26481363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNNAMedicaid