Healthcare Provider Details

I. General information

NPI: 1518992569
Provider Name (Legal Business Name): MARI LYNNE BUTLER A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARI LYNNE SHEETS A.R.N.P.

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 WAUGH ST
JEFFERSON NC
28640-9034
US

IV. Provider business mailing address

395 HEMLOCK RD
BANNER ELK NC
28604-8833
US

V. Phone/Fax

Practice location:
  • Phone: 336-899-4591
  • Fax:
Mailing address:
  • Phone: 336-899-4591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP1191002
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: