Individual
CASEY JAY REYNOLDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, NP-C
Contact information
Practice address
5505 S 900 E STE 240, MURRAY, UT 84117-7210
(801) 783-5011
(801) 746-3734
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0042
(775) 431-1013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4868927-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
4868927-4405
UT
Other
Enumeration date
09/10/2018
Last updated
03/07/2019
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