Individual
MRS. JUDITH ANN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, MSN
Contact information
Practice address
1602 SW 82ND ST, SOUTHWESTERN BEH HLTH CTR, LAWTON, OK 73505-9012
(580) 536-0077
(580) 510-2778
Mailing address
311 VALLEYVIEW DR, LAWTON, OK 73507-8130
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0054436
OK
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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