Maynard, Jo Anne

Maynard, Jo Anne is an individual health care provider with primary practice located at 740 County Road 39A , Southampton NY 11968-5247. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Maynard, Jo Anne can be contacted via phone (631) 638-7702.

Contact Information

Primary practice address
740 County Road 39A Southampton NY 11968-5247
Phone: (631) 638-7702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F301032 New York

Profile Details

NPI number 1730105792
LBN Legal business name Maynard, Jo Anne
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 6th, 2019 - about 7 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 1730105792 NPPES
New York MEDICAID 02376410

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