Individual
JESSICA S REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5401 S EAST ST STE 205C, INDIANAPOLIS, IN 46227-2094
(317) 941-6002
(888) 588-5210
Mailing address
5401 S EAST ST STE 205C, INDIANAPOLIS, IN 46227-2094
(317) 755-6839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009694A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034478
—
IN
Enumeration date
01/16/2020
Last updated
10/14/2025
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