Provider Demographics
NPI:1699011759
Name:DR. JENNIFER JAYNES, PLLC
Entity Type:Organization
Organization Name:DR. JENNIFER JAYNES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:617-771-7174
Mailing Address - Street 1:235 HANOVER ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5246
Mailing Address - Country:US
Mailing Address - Phone:508-676-7300
Mailing Address - Fax:508-676-7310
Practice Address - Street 1:235 HANOVER ST
Practice Address - Street 2:SUITE 303
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5246
Practice Address - Country:US
Practice Address - Phone:508-676-7300
Practice Address - Fax:508-676-7310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty