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

Jennifer Stiles Reynolds, CRNP

Individual provider Nurse Practitioner · NPI 1912443979

Jennifer Stiles Reynolds, CRNP is a Nurse Practitioner in Broomall, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2017
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1991 Sproul Rd Ste 600
Broomall, PA 19008-3512
Phone: (484) 426-1669
Fax: (610) 886-0164
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP017213 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN601938 (PA)

Record details

NPI number1912443979
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 16, 2017
Last updated in NPPESMarch 2, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Broomall