Stacey Jaynes, RN
Registered Nurse, Gerontology in Indianapolis, IN. Individual provider (NPI-1).
NPI number1164099727
StatusActive
Last updated in NPPESJun 10, 2021
Details
- NPI
- 1164099727
- Entity type
- Individual (NPI-1)
- Name
- Stacey Jaynes
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2021
- Certification date
- Jun 10, 2021
- Last updated
- Jun 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0600X | Registered Nurse, Gerontology | 28212090A | IN | Yes |
Practice location
8405 Clearvista PlIndianapolis, IN 46256-3737
Phone 317-578-7500
Mailing address
8405 Clearvista PlIndianapolis, IN 46256-3737
Phone 317-578-7500 · Fax 317-578-7533
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