| NPI | 1417565565 |
|---|---|
| Former Name | KATELYN CAROLE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000025308) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000025308) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2022-01-28 |