Most Relevant Information
Provider Data
| NPI Number: | 1003643529 |
| Provider Name: | STEPHANIE REYNOLDS FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 906876 |
Most Important Dates
| Enumeration Date: | 09/18/2024 |
| Last Updated: | 09/18/2024 |
Provider Practice Location
6025 WALNUT GROVE RD STE 400
MEMPHIS
TN
381202124
Practice Location Phone/Fax
| Phone: | 9012261309 |
| Fax: |
Provider Mailing Location
11091 ANDREWS PARK DR
OLIVE BRANCH
MS
386546739
Provider Mailing Phone/Fax
| Phone: | 9014060801 |
| Fax: |