Healthcare Provider Details

I. General information

NPI: 1427580125
Provider Name (Legal Business Name): JENNA SCHREIER HYNES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNA LUCILLE SCHREIER M.D.

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10208 CERNY ST
RALEIGH NC
27617-7884
US

IV. Provider business mailing address

10208 CERNY ST
RALEIGH NC
27617-7884
US

V. Phone/Fax

Practice location:
  • Phone: 919-248-8777
  • Fax:
Mailing address:
  • Phone: 919-248-8777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number2024-02256
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: