Healthcare Provider Details

I. General information

NPI: 1720112519
Provider Name (Legal Business Name): JANICE E REYNOLDS WHCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3370 S MERCY RD STE 301
GILBERT AZ
85297-0417
US

IV. Provider business mailing address

3815 S VAL VISTA DR STE 101
GILBERT AZ
85297-7309
US

V. Phone/Fax

Practice location:
  • Phone: 480-782-0993
  • Fax: 855-329-8939
Mailing address:
  • Phone: 480-782-0993
  • Fax: 855-329-8939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN083415
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: