Individual
JESSICA LEIGH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-6400
(214) 648-5461
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(469) 291-3369
(469) 291-3369
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001265610
VA
163W00000X
Registered Nurse
865563
TX
363LA2100X
Acute Care Nurse Practitioner
0024176691
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143190
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
AP143190
TX
Other
Enumeration date
02/19/2018
Last updated
05/06/2026
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