Jodi Reynolds in Walnut Creek - Physician Assistant
Jodi Reynolds - NPI 1063629111
Jodi Reynolds is a Physician Assistant in Walnut Creek, California. Jodi Reynolds practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jodi Reynolds is 1063629111. The last update date is 2011-12-01.
Jodi Reynolds's current location address is 1425 S Main St, Walnut Creek, California. You can contact this provider via phone number 9252954130. The mailing address for Jodi Reynolds is 1425 S Main St, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Reynolds |
|---|---|
| Address | 1425 S Main St, Walnut Creek, California |
| Phone Number | 9252954130 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1063629111 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2011-12-01 |
Provider Mailing Address Detail
| Address | 1425 S Main St |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945965318 |
| Phone Number | 9252954130 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA19068 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Jodi Reynolds by the Centers for Medicare & Medicaid Services?
The Jodi Reynolds has been issued the NPI (National Provider Identifier) 1063629111 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jodi Reynolds is physically located?
The Jodi Reynolds is physically situated at the following address: 1425 S Main St, Walnut Creek, CA, 945965318.
What is Jodi Reynolds's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jodi Reynolds is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Jodi Reynolds receive its 1063629111 assignment from the Centers for Medicare & Medicaid Services?
The Jodi Reynolds was assigned its 1063629111 by the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date was the information regarding Jodi Reynolds, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jodi Reynolds, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-01.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA