Individual
JEANNE SUE HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
10130 PERIMETER PKWY, STE 200, CHARLOTTE, NC 28216-2447
(888) 849-7379
(855) 857-7333
Mailing address
10130 PERIMETER PKWY, STE 200, CHARLOTTE, NC 28216-2447
(888) 849-7379
(855) 857-7333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004204
NC
364SH0200X
Home Health Clinical Nurse Specialist
5004204
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175RP
BCBS
NC
05
—
7004983
—
NC
Enumeration date
02/05/2009
Last updated
02/10/2017
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