ALICE REYNOLDS FNP NPI 1053065383

NPI Information

NPI: 1053065383
Provider Name: ALICE REYNOLDS, FNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
222 E MEDICAL LN STE 300
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 936-8100
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Alice Reynolds, FNP is an obstetrics and gynecology nurse practitioner in West Columbia, SC with 2 years of experience. Alice Reynolds, FNP NPI is 1053065383. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

222 E MEDICAL LN STE 300
WEST COLUMBIA, SC
ZIP 29169-848
Phone: (803) 936-8100
Fax: (803) 936-8130

The NPI 1053065383 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2022 and was last updated on 4/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	26756	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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