Basic Information
Provider Information
NPI: 1417329376
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REECE
FirstName: APRIL
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 701 N STATE OF FRANKLIN RD
Address2: STE 2
City: JOHNSON CITY
State: TN
PostalCode: 376043645
CountryCode: US
TelephoneNumber: 4232821480
FaxNumber: 4239281353
Practice Location
Address1: 701 N STATE OF FRANKLIN RD STE 9
Address2:  
City: JOHNSON CITY
State: TN
PostalCode: 376043645
CountryCode: US
TelephoneNumber: 4239264468
FaxNumber: 4239284838
Other Information
ProviderEnumerationDate: 10/30/2015
LastUpdateDate: 09/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X20609TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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