Individual provider · Type 1 NPI

Ryan Hillman Reynolds, NP

Nurse Practitioner · Live Oak, FL

NPI number 1245718295 Active

Practice location

1100 11th St SW
Live Oak, FL 32064-3608

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP9385174 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1245718295

Ryan Hillman Reynolds, NP's National Provider Identifier is 1245718295, issued on Aug 1, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Live Oak, FL. The record was last updated on Aug 1, 2018.