Whalio Doctors

NPI 1013115955

Melanie R Reynolds, FNP

Practitioner Family Nurse Practitioner Springfield, IL

Practice location

Address
3132 Old Jacksonville Rd Suite 200, Springfield, IL 62704-7400
Phone
(217) 862-0730
Fax
(217) 862-0822
Mailing address
PO Box 3428, Springfield, IL 62708-3428

Registered specialties

Family Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 041304030 (IL)

Registry record

NPI
1013115955
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Jul 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.