Organization
JAYNES FAMILY PRACTICE SOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE JAYNES APRN (OWNER)
(606) 304-3794
Entity
Organization
Contact information
Practice address
1507 S MAIN ST, CORBIN, KY 40701-1932
(606) 280-4044
(833) 222-3797
Mailing address
1507 S MAIN ST, CORBIN, KY 40701-1932
(606) 280-4044
(833) 222-3797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/08/2023
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