Reynolds, Jesse
Reynolds, Jesse is an individual health care provider with primary practice located at Madigan Army Medical Center 9040 Jackson, Ave, Tacoma WA 98431. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Reynolds, Jesse can be contacted via phone (253) 967-7656.Contact Information
Primary practice address
Madigan Army Medical Center 9040 Jackson, Ave
Tacoma WA 98431
Phone: (253) 967-7656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1639140197 |
|---|---|
| LBN Legal business name | Reynolds, Jesse |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Mar 6th, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639140197 | NPPES |
| Washington | Other | PA60698388 | PA LICENSE |
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