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

Mr. Jacob C Reedy, NP

Individual provider Family Nurse Practitioner · NPI 1114530565

Mr. Jacob C Reedy, NP is a Family Nurse Practitioner in Hayden, Idaho. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1986 W Hayden Ave
Hayden, ID 83835-7412
Phone: (208) 762-7760
Fax: (208) 762-7740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1010320 (TX)

Record details

NPI number1114530565
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 26, 2020
Last updated in NPPESDecember 20, 2023
Certification dateNovember 21, 2022

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