Individual provider · Type 1 NPI
Ida Pearl Reynolds, P.N.P.
Pediatric Nurse Practitioner · Corsicana, TX
NPI number
1821026196
Active
Practice location
618 N Main St
Corsicana, TX 75110-3028
Fax (903) 872-7215
Mailing address
PO Box 518
Corsicana, TX 75151-0518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 243709 (TX) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
- Navarro County Ambulatory Care AssociationFederally Qualified Health Center (FQHC) Corsicana, TX NPI 1124782875
- Emily M. Meister, ANPPediatric Nurse Practitioner Corsicana, TX NPI 1689607475
- Janquilyn Driver Merida, DNPNurse Practitioner Corsicana, TX NPI 1740304427
- Lori Ann Vicsek, FNPFamily Nurse Practitioner Corsicana, TX NPI 1982904876
Other pediatric nurse practitioner providers in Corsicana
About NPI 1821026196
Ida Pearl Reynolds, P.N.P.'s National Provider Identifier is 1821026196, issued on Jun 28, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Corsicana, TX. The record was last updated on Jul 8, 2007.