Individual
JOHN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 956-6288
(317) 956-6291
Mailing address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 956-6288
(317) 956-6291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28168650A
IN
Other
Enumeration date
07/01/2014
Last updated
09/04/2014
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