MR. BOBBY DEAN REYNOLDS FNP NPI 1356455174

NPI Information

NPI: 1356455174
Provider Name: MR. BOBBY DEAN REYNOLDS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1503 W ELK AVE
ELIZABETHTON, TN
ZIP 37643
Phone: (423) 543-6660
Get Directions

MR. Bobby Dean Reynolds, FNP is a family nurse practitioner in Elizabethton, TN. MR. Bobby Dean Reynolds, FNP NPI is 1356455174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1503 W ELK AVE
ELIZABETHTON, TN
ZIP 37643-876
Phone: (423) 543-6660
Fax: (423) 543-5133

The enumeration date for this NPI number is 8/18/2006 and was last updated on 1/4/2013.

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	363LF0000X	Nurse Practitioner	Family	APN0000007649	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1509464	MEDICAID	OREGON
2	1509464	OTHER	OREGON	MEDICARE
3	4330448	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD

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: 5/5/2024

NPI Synchronization or Removal

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