Individual
MRS. JENNIFER A. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA18560
CA
363AS0400X
Surgical Physician Assistant
Primary
112011-8926
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA18560
PA LICENSE
CA
Enumeration date
11/08/2006
Last updated
11/15/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up