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Destiny R Reynolds

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2817 Rock Merritt Ave Stop A, Fort Bragg, NC 28310-0001

PECOS Enrollment

This provider is enrolled in PECOS as DESTINY REYNOLDS.

Based on the most recent information from CMS, provider Destiny R Reynolds is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1144791849
Provider Type
Individual
Full Name
Reynolds, Destiny R
Credential
FNPC

Gender
Female
Sole Proprietor
No
Enumeration Date
12/7/2018
Last Updated
11/19/2025

Contact Information

Practice Location

2817 Rock Merritt Ave Stop A, Fort Bragg, NC 28310-0001

(910) 908-6257

Unlisted Fax

Mailing Location

2817 Rock Merritt Ave Stop A, Fort Bragg, NC 28310-0001

(910) 908-6257

(910) 436-2540

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5018364 North Carolina

Destiny R Reynolds

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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