# JENNIFER E. REIFSNYDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114219656
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 20768 | NV | Yes |
| 2088P0231X | Pediatric Urology Physician | 289099-01 | NY | — |
| 2088P0231X | Pediatric Urology Physician | 313436 | LA | — |

## Other

- **Enumeration date:** 05/03/2011
- **Last updated:** 09/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14197728 | CAQH \# | NV |
| 01 | — | 22507 | NV MD\# | NV |