Organization
JAYNES FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE GAYLE PHELPS APRN (OWNER)
(606) 280-4000
Entity
Organization
Contact information
Practice address
1013 MASTER ST, CORBIN, KY 40701-1065
(606) 304-3794
(606) 280-4051
Mailing address
PO BOX 2634, CORBIN, KY 40702-2634
(606) 280-4000
(606) 280-4051
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
06/24/2022
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