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

Nicholas Peter Kevin Reynolds, BSRN

Individual provider Critical Care Medicine Registered Nurse · NPI 1942031216

Nicholas Peter Kevin Reynolds, BSRN is a Critical Care Medicine Registered Nurse in Conyers, Georgia. Licensed in Georgia and New York. Registered with an NPI since 2024.

Licensed in
GA, NY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2075 Channing Dr
Conyers, GA 30094-4164
Phone: (646) 515-6037
Show map & directions

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

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence RN278989 (GA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 800391 (NY)

Record details

NPI number1942031216
Entity typeIndividual (Type 1)
GenderMale
Credentials BSRN
Sole proprietorNo
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

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