Individual
MRS. LISA MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
500 J CLYDE MORRIS BLVD STE 500, NEWPORT NEWS, VA 23601-1929
(757) 873-1374
(757) 873-1612
Mailing address
500 J CLYDE MORRIS BLVD STE 500, NEWPORT NEWS, VA 23601-1929
(757) 329-1975
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024192287
VA
Other
Enumeration date
01/10/2025
Last updated
02/25/2025
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