# CORA MARIE REYNOLDS

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

## Provider details

- **NPI number:** 1639586399
- **Gender:** F
- **Credential:** ANP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 1033341 | TX | — |
| 363LA2200X | Adult Health Nurse Practitioner | 205993 | OK | — |
| 363LA2200X | Adult Health Nurse Practitioner | 209.011587 | IL | — |
| 363LA2200X | Adult Health Nurse Practitioner | 28084 | TN | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | GAA-NP000480 | GA | — |

## Other

- **Enumeration date:** 07/15/2014
- **Last updated:** 05/10/2024