| Jennifer Stiles Reynolds, CRNP | |
|
1991 Sproul Rd, Suite 600, Broomall, PA 19008-3512 | |
| (484) 426-1669 | |
| (610) 886-0164 |
| Full Name | Jennifer Stiles Reynolds |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1991 Sproul Rd, Broomall, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912443979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN601938 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP017213 (Pennsylvania) | Primary |
| Entity Name | Main Line Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Stiles Reynolds, CRNP 1991 Sproul Rd, Suite 600, Broomall, PA 19008-3512 Ph: (484) 426-1669 | Jennifer Stiles Reynolds, CRNP 1991 Sproul Rd, Suite 600, Broomall, PA 19008-3512 Ph: (484) 426-1669 |
Michele Bramley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 300, Broomall, PA 19008 Phone: 610-325-1390 Fax: 610-325-1373 | |
Ms. Gilda Audrey Johnson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 300, Broomall, PA 19008 Phone: 610-325-1390 Fax: 610-325-1373 | |
Lisa Marie Smith, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Abbott Dr, Broomall, PA 19008 Phone: 888-227-3898 | |
Caroline Wilkinson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Winchester Rd, Broomall, PA 19008 Phone: 610-731-7636 | |
Ann Marie Daly Bradley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Lawrence Rd Ste 201, Broomall, PA 19008 Phone: 610-492-5911 | |
Sharon Hunter, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Sproul Road, Suite 206, Broomall, PA 19008 Phone: 610-284-0200 Fax: 610-353-7932 | |
Mrs. Jacquelyn Elizabeth Mowday, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 200, Broomall, PA 19008 Phone: 610-325-1350 Fax: 610-325-1357 |