Individual provider · Type 1 NPI

Jennifer Stiles Reynolds, CRNP

Nurse Practitioner · Broomall, PA

NPI number 1912443979 Active

Practice location

1991 Sproul Rd, Suite 600
Broomall, PA 19008-3512

Fax (610) 886-0164

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN601938 (PA)
Nurse Practitioner Primary 363L00000XSP017213 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1912443979

Jennifer Stiles Reynolds, CRNP's National Provider Identifier is 1912443979, issued on Jan 16, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Broomall, PA. The record was last updated on Mar 2, 2017.