Individual
TAMMY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(888) 221-1826
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19148
OH
363L00000X
Nurse Practitioner
3010158
KY
Other
Enumeration date
04/13/2016
Last updated
06/25/2019
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