Reynolds, Jennifer A.

Reynolds, Jennifer A. is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Reynolds, Jennifer A. can be contacted via phone (801) 581-7738.

Contact Information

Primary practice address
50 N Medical Dr Salt Lake City UT 84132-0001
Phone: (801) 581-7738
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18560 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 112011-8926 Utah

Profile Details

NPI number 1326118274
LBN Legal business name Reynolds, Jennifer A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Nov 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326118274 NPPES
California Other PA18560 PA LICENSE

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