Provider Demographics
NPI:1306981469
Name:REEVES, GERALDINE C (APRN, BC)
Entity type:Individual
Prefix:
First Name:GERALDINE
Middle Name:C
Last Name:REEVES
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 MURFREESBORO RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3002
Mailing Address - Country:US
Mailing Address - Phone:615-791-7373
Mailing Address - Fax:
Practice Address - Street 1:919 MURFREESBORO RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3002
Practice Address - Country:US
Practice Address - Phone:615-791-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN6755363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
02503511-22OtherBOARD CERTIFICATION
02503511-22OtherBOARD CERTIFICATION