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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CONNIE A REAVES, NURSE PRACTITIONER
202 TUCKER AVE
RIPLEY, TN38063-1631
 Phone: 731-635-4741
 Fax: 731-635-3466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CONNIE A REAVES · (Female)

NPI Number 1255476677
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 02/21/2007
Last updated 10/26/2010 - About 6 years ago
Sole proprietor 1 No
Identifiers
TN License # 5905
TN License # 64614
TN Medicare UPIN Q17138
Hospital affiliation(s)
  • LAUDERDALE COMMUNITY HOSPITAL - (Critical Access)
    326 ASBURY AVENUE
    RIPLEY, TN 38063
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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