Individual provider · Type 1 NPI

Lael Jo Reynolds

Psychiatric/Mental Health Nurse Practitioner · Ammon, ID

NPI number 1689332769 Active

Practice location

2705 E 17th St
Ammon, ID 83406-6601

Mailing address

4034 E Fairway Dr
Rigby, ID 83442-5271

Other practice locations

  • 33 Madison Professional Park, Rexburg, ID 83440-2057 · (208) 243-9304

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71578 (ID)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1689332769

Lael Jo Reynolds's National Provider Identifier is 1689332769, issued on Dec 6, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ammon, ID. The record was last updated on Jul 8, 2026.