IndividualActive
Blakely Reeder, NP
NPI 1205345386 · Nurse Practitioner · N Little Rock, AR
Provider details
- NPI number
- 1205345386
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- License
- A005358 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5201 Northshore Dr
N Little Rock, AR 72118-5312
Phone: (877) 918-7020
Fax: (479) 968-1673
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9178
Russellville, AR 72811-9178
Registry dates
- Enumerated
- 2017-09-21
- Last updated
- 2017-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.