Reynolds, Melissa L
Reynolds, Melissa L is an individual health care provider with primary practice located at Usa Meddac 11050 Mt. Belvedere Blvd., Fort Drum NY 13602. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Reynolds, Melissa L can be contacted via phone (315) 772-2778.Contact Information
Primary practice address
Usa Meddac 11050 Mt. Belvedere Blvd.
Fort Drum NY 13602
Phone: (315) 772-2778
Fax: (315) 965-3703
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 336340 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 336340 | New York |
Profile Details
NPI number | 1164747317 |
---|---|
LBN Legal business name | Reynolds, Melissa L |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2010 |
Last updated | Dec 20th, 2021 - about 3 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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