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NPI Code Detail

MEDICARE: PROF. SHEILA JANE PYNES FNP

MEDICARE: PROF. SHEILA JANE PYNES FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5005992NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356390314
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. SHEILA JANE PYNES FNP
Provider Business Mailing Address
First Line : PO BOX 751848
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1848
Country : US
Telephone Number : 828-274-6190
Fax Number : 827-277-4890
Provider Business Practice Location Address
First Line : 68 SWEETEN CREEK RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28803-2318
Country : US
Telephone Number : 828-277-4800
Fax Number : 828-277-4865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 06/29/2016

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