Provider Demographics
NPI:1467964478
Name:KESTNER, JANE SPERA HAYES (APRN, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:SPERA HAYES
Last Name:KESTNER
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:SPERA
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:314 FAIRY STREET EXT STE A
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-1913
Mailing Address - Country:US
Mailing Address - Phone:276-638-5437
Mailing Address - Fax:
Practice Address - Street 1:314 FAIRY STREET EXT STE A
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1913
Practice Address - Country:US
Practice Address - Phone:276-638-5437
Practice Address - Fax:606-754-7436
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175481363LP0200X
KY3011856363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics