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Individual

DR. ELYSIA HYMON REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-C

Contact information

Practice address
5459 N HENRY BLVD STE C, STOCKBRIDGE, GA 30281-3265
(678) 663-5802
Mailing address
2405 NEWBERRY LN, MT JULIET, TN 37122-7461
(901) 949-9464

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
168711
TN
163W00000X
Registered Nurse
217693
GA
363LF0000X
Family Nurse Practitioner
19932
TN
363LF0000X
Family Nurse Practitioner
Primary
217693
GA

Other

Enumeration date
03/10/2015
Last updated
08/22/2019
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