Provider Demographics
NPI:1356390314
Name:PYNES, SHEILA JANE (FNP)
Entity type:Individual
Prefix:PROF
First Name:SHEILA
Middle Name:JANE
Last Name:PYNES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:JANE
Other - Last Name:THURBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 751848
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1848
Mailing Address - Country:US
Mailing Address - Phone:828-274-6190
Mailing Address - Fax:827-277-4890
Practice Address - Street 1:68 SWEETEN CREEK RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2318
Practice Address - Country:US
Practice Address - Phone:828-277-4800
Practice Address - Fax:828-277-4865
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCA12BMedicare PIN
FL307226600Medicaid
FLU8040ZMedicare UPIN