Individual
CAMERON LEWIS REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
5001 W VILLAGE GREEN DR STE 205, MIDLOTHIAN, VA 23112-4801
(833) 510-4357
(866) 460-2997
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024183628
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021050922
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021050922
—
VA
Enumeration date
10/13/2021
Last updated
01/19/2026
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