person
Tatum J Reynolds, APN
Family Nurse Practitioner in Springfield, Illinois
NPI 1992316376

Tatum J Reynolds is a Family Nurse Practitioner based in Springfield, IL and is specialized in Family. Tatum J Reynolds practices in Springfield, IL and has the professional credentials of APN. The NPI Number for Tatum J Reynolds is 1992316376 and holds a License No. 209021803 (Illinois).

The current practice location address for Tatum J Reynolds is 1301 S Koke Mill Rd, Springfield, IL and can be reached out via phone at 217-547-9100.

Location: 1301 S Koke Mill Rd, Springfield, IL, 62711-9252
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Provider Profile Details
NPI Number
1992316376
Provider Name
Tatum J Reynolds
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1301 S Koke Mill Rd, Springfield, IL, 62711-9252
Phone Number
217-547-9100
Fax Number
Provider Enumeration Date
08/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209021803 01 IL APN LICENSE
041402681 01 IL RN LICENSE
institution
Provider Business Practice Location Address Details
Address
1301 S Koke Mill Rd
City
State
Zip
62711-9252
Phone Number
217-547-9100
Fax Number
person
Provider Business Mailing Address Details
Address
1301 S Koke Mill Rd
City
State
Zip
62711-9252
Phone Number
217-547-9100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209021803 (Illinois)
Definition
Definition to come...
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