Individual
KAYSIEANN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2445 SKYLARS MILL WAY, SNELLVILLE, GA 30078-5741
(917) 279-5862
Mailing address
12615 COLTART CT, CHARLOTTE, NC 28262-1603
(917) 279-5862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
645506
NY
363LF0000X
Family Nurse Practitioner
Primary
5021446
NC
363LF0000X
Family Nurse Practitioner
RN217653
GA
Other
Enumeration date
10/24/2011
Last updated
01/08/2025
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