Maynard, Jeffrey John
Maynard, Jeffrey John is an individual health care provider with primary practice located at Wake Forest University Baptist Medical Center Medical Center Blvd, Winston-Salem NC 27157-1191. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as his primary health care specialty. Maynard, Jeffrey John can be contacted via phone (336) 713-6428.Contact Information
Primary practice address
Wake Forest University Baptist Medical Center Medical Center Blvd
Winston-Salem NC 27157-1191
Phone: (336) 713-6428
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 27023 | North Carolina |
Profile Details
| NPI number | 1477768323 |
|---|---|
| LBN Legal business name | Maynard, Jeffrey John |
| Credentials | RN-NIC, MSN, NNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Jun 25th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477768323 | NPPES |
| North Carolina | MEDICAID | 7004072 |
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