Individual
JENNIFER REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 BRIDGE VIEW DR STE 600, N CHARLESTON, SC 29405-8415
(843) 953-0307
Mailing address
4050 BRIDGE VIEW DR STE 600, N CHARLESTON, SC 29405-8415
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
326
SC
163WC1500X
Community Health Registered Nurse
Primary
204285
SC
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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