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

Glorious Latric Wilson-Reynolds, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1376898320

Glorious Latric Wilson-Reynolds, CPNP is a Pediatric Nurse Practitioner in LA Porte, Indiana. Licensed in Illinois and Indiana. Registered with an NPI since 2012.

Licensed in
IL, IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

1509 State St
LA Porte, IN 46350-3115
Phone: (219) 324-3431
Fax: (219) 362-3802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 71005286A (IN)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 209008737 (IL)

Record details

NPI number1376898320
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedJuly 16, 2012
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 28, 2020

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