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NPI Code Detail

MEDICARE: KALIYAH JAYNES DNP, FNP-C

MEDICARE: KALIYAH JAYNES DNP, FNP-C
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 Practitioner218641AZ

General Provider Information

NPI Number : 1861112492
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALIYAH JAYNES DNP, FNP-C
Provider Business Mailing Address
First Line : 3830 E VAN BUREN ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-6920
Country : US
Telephone Number : 602-243-7277
Fax Number :
Provider Business Practice Location Address
First Line : 3830 E VAN BUREN ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-6920
Country : US
Telephone Number : 602-806-6655
Fax Number : 602-323-3496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2022
Last Update Date : 03/30/2026

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