Individual
MELISSA L REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
USA MEDDAC, 11050 MT. BELVEDERE BLVD., FORT DRUM, NY 13602
(315) 772-2778
(315) 965-3703
Mailing address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(315) 772-2877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
336340
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
336340
NY
Other
Enumeration date
03/31/2010
Last updated
03/05/2026
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