Provider Demographics
NPI:1033980529
Name:REEVES, ISABELLA GRACE (PA-C)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:GRACE
Last Name:REEVES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 MARRIOTT DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-5048
Mailing Address - Country:US
Mailing Address - Phone:931-247-3861
Mailing Address - Fax:
Practice Address - Street 1:909 HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-2025
Practice Address - Country:US
Practice Address - Phone:931-723-1705
Practice Address - Fax:931-723-0861
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2025-07-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant