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Jessica Reynolds

NPI 1235655754 · on the registry since 2017

Practice

Address
204 W Hill Blvd
Charleston Afb, SC 29404
Phone
(843) 963-6833
Organisation at this address
United States Air Force
628th Medgrp-Charleston
628th Medgrp-Charleston
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Additional practice sites

  • 261 Calhoun St, Charleston, SC
  • 261 Calhoun St, Charleston, SC

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina