Individual
CHARLENE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1636 SHADOWOOD LN STE 106, JACKSONVILLE, FL 32207-2187
(904) 695-0249
(904) 695-7385
Mailing address
1636 SHADOWOOD LN STE 106, JACKSONVILLE, FL 32207-2187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041431448
IL
163W00000X
Registered Nurse
RN9423089
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209022748
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11009388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108934400
—
FL
Enumeration date
01/06/2020
Last updated
03/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us