Provider Demographics
NPI:1952992497
Name:HAYES, JYNETTE T
Entity Type:Individual
Prefix:MS
First Name:JYNETTE
Middle Name:T
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 N WAVERLY ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1122
Mailing Address - Country:US
Mailing Address - Phone:614-966-6798
Mailing Address - Fax:
Practice Address - Street 1:68 N WAVERLY ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1122
Practice Address - Country:US
Practice Address - Phone:614-966-6798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker