Healthcare Provider Details

I. General information

NPI: 1356390314
Provider Name (Legal Business Name): SHEILA JANE PYNES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEILA JANE THURBER ARNP

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 06/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 SWEETEN CREEK RD
ASHEVILLE NC
28803-2318
US

IV. Provider business mailing address

PO BOX 751848
CHARLOTTE NC
28275-1848
US

V. Phone/Fax

Practice location:
  • Phone: 828-277-4800
  • Fax: 828-277-4865
Mailing address:
  • Phone: 828-274-6190
  • Fax: 827-277-4890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5005992
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: