Individual
CORA MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
3214 TAZEWELL PIKE STE 105, KNOXVILLE, TN 37918-2588
(865) 229-4259
Mailing address
3214 TAZEWELL PIKE STE 105, KNOXVILLE, TN 37918-2588
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1033341
TX
363LA2200X
Adult Health Nurse Practitioner
205993
OK
363LA2200X
Adult Health Nurse Practitioner
209.011587
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
28084
TN
363LA2200X
Adult Health Nurse Practitioner
GAA-NP000480
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.416257
STATE RN
IL
Enumeration date
07/15/2014
Last updated
05/10/2024
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