Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jackson David Reynolds, MD

Individual provider Internal Medicine Physician · NPI 1598345647

Dr. Jackson David Reynolds, MD is an Internal Medicine Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 N 12th St Ste 508
Phoenix, AZ 85006-2849
Phone: (602) 839-3927
Fax: (602) 839-4233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 72531 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 72531 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 72531 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1598345647
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

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