Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clifton Dewayne Reed

Individual provider Family Nurse Practitioner · NPI 1912480328

Clifton Dewayne Reed is a Nurse Practitioner in Shaw, Mississippi. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2018

Practice location Address checks out

112 W Peeler Ave
Shaw, MS 38773-8710
Phone: (662) 754-3304
Fax: (662) 754-3301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R877471 (MS)

Record details

NPI number1912480328
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 11, 2018
Last updated in NPPESSeptember 11, 2018
Mailing address112 W Peeler Ave, Shaw, MS 38773-8710

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

Other providers in Shaw