MS. MARY ANN REYNOLDS ANP-C
NPI 1396707402
Nurse Practitioner - Adult Health in Fayetteville, NC

Q: What is Mary Reynolds's NPI number?

The NPI number for Mary Reynolds is 1396707402. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Q: What is Mary Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Reynolds was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2006

7300 S RAEFORD RD, FAYETTEVILLE, NC 28304(910) 475-6412(910) 867-9307 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Mary Ann Reynolds Anp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY ANN REYNOLDS ANP-C (NPI 1396707402) is an individual adult health provider in Fayetteville, North Carolina, licensed in North Carolina (900216) and active in the NPI registry since April 2006. She maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1396707402

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. MARY ANN REYNOLDSCredential: ANP-C

Location Address7300 S RAEFORD RDFayetteville, NC 28304-6162

Mailing Address7300 S Raeford RdFayetteville, NC 28304-6162 · (910) 475-1475 · Fax (910) 867-9307

Phone(910) 475-6412

Fax(910) 867-9307

Sole ProprietorNo

Enumeration DateApril 4, 2006

Last NPPES UpdateAugust 1, 2019

✔ NPI 1396707402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NC · 900216

7300 S RAEFORD RD, Fayetteville, NC 28304

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Secondary Practice Location 1

Location 12300 Ramsey StFayetteville, NC 28301-3856 · Phone (910) 488-2120 ext. 5537

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA MARIE PARKS PHARMD

Pharmacist