Doctor Name: | TINA S. REYNOLDS |
NPI Number: | 1528185188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.N. |
License Number: | LPN0000032226 |
Business Practice Address: | 9527 W Ridge Trail Rd Soddy Daisy, TN - 373794018 |
Business Phone Number: | 4238423031 |
Business Fax Number: | 4238425353 |
Mailing Address: | 4744 Pine View Ln, CHATTANOOGA |
State: | TN |
Postal Code: | 374161939 |
Phone Number: | 4238931902 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | LPN0000032226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |