1902002900 NPI number — MRS. MARY JILL HAYNIE CLEARY ANP

Table of content: MRS. MARY JILL HAYNIE CLEARY ANP (NPI 1902002900)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902002900 NPI number — MRS. MARY JILL HAYNIE CLEARY ANP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAYNIE CLEARY
Provider First Name:
MARY JILL
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
ANP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CLEARY
Provider Other First Name:
JILL
Provider Other Middle Name:
H
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
ANP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1902002900
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/23/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
109 BEE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLESTON
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29401-5703
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-577-5011
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
109 BEE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29401-5703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-577-5011
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  APN2085 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AA05637189 . This is a "MEDICARE ID" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".




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