Provider Demographics
NPI:1366019978
Name:REED, JAMARE A (CRNA, DNP)
Entity type:Individual
Prefix:
First Name:JAMARE
Middle Name:A
Last Name:REED
Suffix:
Gender:M
Credentials:CRNA, DNP
Other - Prefix:
Other - First Name:JAMARE
Other - Middle Name:A
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA, DNP
Mailing Address - Street 1:6601 NORTH 75TH AVENUE
Mailing Address - Street 2:APT 20929
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382
Mailing Address - Country:US
Mailing Address - Phone:662-518-8000
Mailing Address - Fax:
Practice Address - Street 1:640 S STATE ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3530
Practice Address - Country:US
Practice Address - Phone:302-674-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL6-0A10901367500000X
AZ259166367500000X
MS901700367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered