Individual provider · Type 1 NPI

Jennifer Butler Reynaldo, PA-C

Medical Physician Assistant · Virginia Beach, VA

NPI number 1891779468 Active

Practice location

1120 First Colonial Rd, Suite 100
Virginia Beach, VA 23454-2418

Call (757) 481-2333 Map

Fax (757) 481-1037

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA030295 (DC)
Physician Assistant 363A00000X25MP00171700 (NJ)
Medical Physician Assistant Primary 363AM0700X0110001711 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1891779468

Jennifer Butler Reynaldo, PA-C's National Provider Identifier is 1891779468, issued on Dec 6, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Nov 10, 2015.