Individual
LAYNE HARTNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
112 HARCOURT RD STE 2, MOUNT VERNON, OH 43050-3944
(740) 326-6069
Mailing address
112 HARCOURT RD STE 2, MOUNT VERNON, OH 43050-3944
(740) 326-6069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12717
NC
363AM0700X
Medical Physician Assistant
Primary
50.009556RX
OH
Other
Enumeration date
05/06/2022
Last updated
10/09/2025
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