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Ida Pearl Reynolds, PNP
Pediatric Nurse Practitioner in Corsicana, Texas
NPI 1821026196

Ida Pearl Reynolds is a Pediatric Nurse Practitioner based in Corsicana, TX and is specialized in Pediatrics. Ida Pearl Reynolds practices in Corsicana, TX and has the professional credentials of PNP. The NPI Number for Ida Pearl Reynolds is 1821026196 and holds a License No. 243709 (Texas).

The current practice location address for Ida Pearl Reynolds is 618 N Main St, Corsicana, TX and can be reached out via phone at 903-872-2151 and via fax at 903-872-7215.

Location: 618 N Main St, Corsicana, TX, 75151-0518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821026196
Provider Name
Ida Pearl Reynolds
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
618 N Main St, Corsicana, TX, 75151-0518
Phone Number
903-872-2151
Fax Number
903-872-7215
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
618 N Main St
City
Corsicana
State
Texas
Zip
75110-3028
Phone Number
903-872-2151
Fax Number
903-872-7215
person
Provider Business Mailing Address Details
Address
618 N Main St
City
Corsicana
State
Texas
Zip
75110-3028
Phone Number
903-872-2151
Fax Number
903-872-7215
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
243709 (Texas)
Definition
Definition to come...
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