Haynie Cleary, Mary Jill

Haynie Cleary, Mary Jill is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Haynie Cleary, Mary Jill can be contacted via phone (843) 577-5011.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Phone: (843) 577-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN2085 South Carolina

Profile Details

NPI number 1902002900
LBN Legal business name Haynie Cleary, Mary Jill
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Feb 23rd, 2018 - about 6 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 1902002900 NPPES
South Carolina Other AA05637189 MEDICARE ID

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