Individual
ANGELA SOPHIA MCREYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST RM S347, JACKSON, MS 39216-4500
(601) 984-5176
(601) 496-8115
Mailing address
2500 N STATE ST RM S347, JACKSON, MS 39216-4500
(601) 984-5176
(601) 496-8115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902805
MS
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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