| NPI | 1427943281 |
|---|---|
| Former Name | STACI JANAYE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047121) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-07-14 |