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:
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Health care specialties

SpecialtyCodeLicense #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 5 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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