Jared Reichard, NURSE PRACTITIONER
NPI #1811425853 in Grantville, Georgia
Provider Information
- NPI Number
- 1811425853
- Entity Type
- Individual
- Name
- Jared Reichard, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Jun 2, 2017
- Last Updated
- Sep 21, 2021
Practice Location
- Address
- 65 SUNRISE DR
- City
- Grantville
- State
- Georgia
- ZIP Code
- 30220-2854
- Phone
- (770) 312-5137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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