Autry, Jeffrey Wayne

Autry, Jeffrey Wayne is an individual health care provider with primary practice located at 1004 Beamon St. , Clinton NC 28328-0227. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Autry, Jeffrey Wayne can be contacted via phone (910) 592-9113.

Contact Information

Primary practice address
1004 Beamon St. Clinton NC 28328-0227
Phone: (910) 592-9113
Fax: (910) 590-0050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 105149 North Carolina

Profile Details

NPI number 1063474559
LBN Legal business name Autry, Jeffrey Wayne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Nov 21st, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063474559 NPPES
North Carolina Other 2344540 MEDICARE GROUP NO
North Carolina Other 2806457A MEDICARE GROUP NO

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