Individual
LETTIE JANE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2995 REIDVILLE RD, SPARTANBURG, SC 29301-5628
(864) 587-3000
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 778-8540
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18714
SC
363LF0000X
Family Nurse Practitioner
RN187039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003157892A
—
GA
Enumeration date
02/27/2014
Last updated
05/27/2016
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