MS. ISHARON BENYETTE REYNOLDS NP-C NPI 1962914366

NPI Information

NPI: 1962914366
Provider Name: MS. ISHARON BENYETTE REYNOLDS, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2111 WOODWARD AVE STE 1200
DETROIT, MI
ZIP 48201
Phone: (313) 488-4332
Get Directions

MS. Isharon Benyette Reynolds, NP-C is a family nurse practitioner in Detroit, MI. MS. Isharon Benyette Reynolds, NP-C NPI is 1962914366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2111 WOODWARD AVE STE 1200
DETROIT, MI
ZIP 48201-415
Phone: (313) 488-4332
Fax: (313) 488-4332

The NPI 1962914366 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 10/26/2017 and was last updated on 11/27/2023.

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	363LF0000X	Nurse Practitioner	Family	APRN.CNP.023310	OHIO	Yes
2	363LF0000X	Nurse Practitioner	Family	4704361588	MICHIGAN	No

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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