MEDICARE: JANICE E REYNOLDS WHCNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	RN083415	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720112519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE E REYNOLDS WHCNP

Provider Business Mailing Address
First Line	:	3815 S VAL VISTA DR STE 101
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-7309
Country	:	US
Telephone Number	:	480-782-0993
Fax Number	:	855-329-8939

Provider Business Practice Location Address
First Line	:	3370 S MERCY RD STE 301
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-0417
Country	:	US
Telephone Number	:	480-782-0993
Fax Number	:	855-329-8939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	10/24/2025

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