| Jessica Hardee Reynolds, CRNA | |
| 
					4420 Lake Boone Trl, Raleigh, NC 27607-7505  | |
| (919) 784-3100 | |
| Not Available | 
| Full Name | Jessica Hardee Reynolds | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 4420 Lake Boone Trl, Raleigh, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285052324 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 104655 (North Carolina) | Primary | 
| 163W00000X | Registered Nurse | 224005 (North Carolina) | Secondary | 
| Entity Name | Cumberland County Hospital System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693  | 
| Entity Name | American Anesthesiology Of North Carolina Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053677195 PECOS PAC ID: 2961316450 Enrollment ID: O20031229000004  | 
| Entity Name | Bladen Healthcare Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558537282 PECOS PAC ID: 6800967969 Enrollment ID: O20080617000314  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Hardee Reynolds, CRNA 3100 Spring Forest Rd, Ste 130, Raleigh, NC 27616-2880 Ph: (919) 873-9533  | Jessica Hardee Reynolds, CRNA 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3100  | 
Eric Linton,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100  | |
Brianne V Schreiber, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4044 Barton Park Pl, Raleigh, NC 27613 Phone: 330-503-7009  | |
Carol Goodson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2308 Wesvill Ct, Raleigh, NC 27607 Phone: 919-781-4311  | |
Christopher Michael Lamers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645  | |
Donna Ransom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3034  | |
Douglas Sanks, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645  | |
Angela L Kinmann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645  |