JANA ETHEL REID

WEST PLAINS, MO
NPI1033619077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  2005007398)
Enumeration Date2018-02-16
Last Update Date2019-07-09
Business Address
JANA ETHEL REID PMHNP
1211 PORTER WAGONER BLVD
WEST PLAINS, MO 65775-1826
Phone number: 417-349-2334
Mailing Address
JANA ETHEL REID PMHNP
1211 PORTER WAGONER BLVD # 23
WEST PLAINS, MO 65775-1826
Phone number: 417-257-6762