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MR. ROBERT MICHAEL REYNOLDS LVN
NPI 1457612376
Licensed Vocational Nurse in Jackson, CA

Active since June 06, 2012
8180 STONEY CREEK RD, JACKSON, CA 95642(209) 217-6204 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Robert Michael Reynolds Lvn NPPES

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

MR. ROBERT MICHAEL REYNOLDS LVN (NPI 1457612376) is an individual licensed vocational nurse in Jackson, California, licensed in California (V126240) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1457612376
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameMR. ROBERT MICHAEL REYNOLDSCredential: LVN
Location Address8180 STONEY CREEK RDJackson, CA 95642-9483
Mailing Address8180 Stoney Creek RdJackson, CA 95642-9483 · (209) 217-6204
Phone(209) 217-6204
Sole ProprietorYes
Enumeration DateJune 6, 2012
✔ NPI 1457612376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · V126240
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
8180 STONEY CREEK RD, Jackson, CA 95642
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Reynolds's NPI number?

The NPI number for Robert Reynolds is 1457612376. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Robert Reynolds located?

Robert Reynolds practices at 8180 Stoney Creek Rd, Jackson, CA 95642. The listed phone number is (209) 217-6204.

What is Robert Reynolds's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Robert Reynolds was last updated on June 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.