Healthcare Provider Details

I. General information

NPI: 1467964478
Provider Name (Legal Business Name): JANE SPERA HAYES KESTNER APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANE SPERA HAYES

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1728 PARK AVE NW
NORTON VA
24273-1613
US

IV. Provider business mailing address

1728 PARK AVE NW
NORTON VA
24273-1613
US

V. Phone/Fax

Practice location:
  • Phone: 276-327-7982
  • Fax: 276-999-7699
Mailing address:
  • Phone: 276-327-7982
  • Fax: 276-999-7699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number3011856
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024175481
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: