NPI 1114530565

Jacob C Reedy, NP

Practitioner Family Nurse Practitioner Hayden, ID

Practice location

Address: 1986 W. Hayden Ave, Hayden, ID 83835-7412
Phone: (208) 762-7760
Fax: (208) 762-7740

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 1010320 (TX)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1114530565
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2020
Record last updated: 20 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.