Individual
JENNIFER A MCREYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
13921 N MERIDIAN AVE STE 100, OKLAHOMA CITY, OK 73134-1106
(405) 752-9600
(405) 752-9650
Mailing address
3435 NW 56TH ST, SUITE 412, OKLAHOMA CITY, OK 73112-4448
(405) 945-4325
(405) 945-4327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1415
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095790A
—
OK
Enumeration date
07/27/2006
Last updated
04/26/2022
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