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

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X243709 (TX)

Pediatric Nurse Practitioner: Definition to come...

4 other providers at this address

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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.