Basic Information
| Provider Information | |||||||||
| NPI: | 1003015348 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REED | ||||||||
| FirstName: | YOLONDA | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 450 | ||||||||
| Address2: | |||||||||
| City: | PLEASANT PLAINS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 725680450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013452182 | ||||||||
| FaxNumber: | 5013458804 | ||||||||
| Practice Location | |||||||||
| Address1: | 6200 BATESVILLE BLVD | ||||||||
| Address2: | |||||||||
| City: | PLEASANT PLAINS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 72568 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013452182 | ||||||||
| FaxNumber: | 5013458804 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2007 | ||||||||
| LastUpdateDate: | 02/06/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | A004066 | AR | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | A004066 | 01 | AR | ARKANSAS | OTHER |