Individual
JUDITH LUANN HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2050 KENNY RD STE 1222, COLUMBUS, OH 43221-3502
(614) 366-6675
(614) 366-8166
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 366-6675
(614) 366-8166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRNCNP023350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316197
—
OH
Enumeration date
09/01/2018
Last updated
03/08/2023
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