Healthcare Provider Details

I. General information

NPI: 1679688188
Provider Name (Legal Business Name): PAULA D REYNOLDS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 GREGORY ST
SCOTTSBORO AL
35768-4239
US

IV. Provider business mailing address

3603 PINE RIDGE RD
SCOTTSBORO AL
35769-6462
US

V. Phone/Fax

Practice location:
  • Phone: 256-256-1774
  • Fax: 256-259-0761
Mailing address:
  • Phone: 256-218-3070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-031100
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number1-031100
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number1-031100
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number1-031100
License Number StateAL
# 5
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number1-031100
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: