Individual
MS. JACKIE SUE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
199 TROTTERS CIR, DELAWARE, OH 43015-3373
(740) 990-8832
Mailing address
199 TROTTERS CIR, DELAWARE, OH 43015-3373
(740) 990-8832
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN090469
OH
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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