Provider Demographics
NPI:1487752614
Name:REEDY, JESSICA FALCO (NP, RN)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:FALCO
Last Name:REEDY
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Gender:F
Credentials:NP, RN
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Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:500 E ALMOND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5600
Practice Address - Country:US
Practice Address - Phone:559-675-1133
Practice Address - Fax:559-675-1136
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-26
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Provider Licenses
StateLicense IDTaxonomies
CARN305961163WX0003X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient