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Individual

MELISSA L REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3440
(573) 629-3423
Mailing address
6500 HOSPITAL DR, 2B, HANNIBAL, MO 63401-6890
(573) 629-3440
(573) 629-3423

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209013822
IL
363LA2200X
Adult Health Nurse Practitioner
2015043764
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2015043764
MO
363LP2300X
Primary Care Nurse Practitioner
2015043764
MO

Other

Enumeration date
03/30/2016
Last updated
03/06/2017
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