Individual
JODI LYNN HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3377 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 399-3310
(301) 523-5416
Mailing address
3377 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 399-3310
(301) 523-5416
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33027
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33027
STATE LPN
WV
Enumeration date
01/21/2014
Last updated
01/21/2014
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