Individual provider · Type 1 NPI

Elena Terece Reynolds, PA-C

Medical Physician Assistant · Fayetteville, NC

NPI number 1902958697 Active

Practice location

2053 Valleygate Dr, Suite 101
Fayetteville, NC 28304-3747

Fax (910) 223-9783

Mailing address

2149 Valleygate Dr Ste 101
Fayetteville, NC 28304-3666

Other practice locations

  • 150 Robeson St, Fayetteville, NC 28301-5570 · (910) 615-5616

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-00804 (NC)
Medical Physician Assistant Primary 363AM0700X0010-00804 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1902958697

Elena Terece Reynolds, PA-C's National Provider Identifier is 1902958697, issued on Jan 16, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 6, 2026.