Jeffrey Wayne Autry in Clinton - Nurse Practitioner
Jeffrey Wayne Autry - NPI 1063474559
Jeffrey Wayne Autry is a Nurse Practitioner in Clinton, North Carolina. Jeffrey Wayne Autry practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jeffrey Wayne Autry is 1063474559. The last update date is 2007-11-21.
Jeffrey Wayne Autry's current location address is 1004 Beamon St., Clinton, North Carolina. You can contact this provider via phone number 9105929113 and fax number 9105900050. The mailing address for Jeffrey Wayne Autry is 1004 Beamon St., Clinton, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Wayne Autry |
|---|---|
| Address | 1004 Beamon St., Clinton, North Carolina |
| Phone Number | 9105929113 |
| Fax Number | 9105900050 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1063474559 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2007-11-21 |
Provider Mailing Address Detail
| Address | 1004 Beamon St. |
|---|---|
| City | Clinton |
| State | North Carolina (NC) |
| Post Code | 283280227 |
| Phone Number | 9105929113 |
| Fax Number | 9105900050 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 105149 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2344540 | NC | MEDICARE GROUP NO | |
| 2806457A | NC | MEDICARE INDIV PROVIDER |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey Wayne Autry by the Centers for Medicare & Medicaid Services?
The Jeffrey Wayne Autry has been assigned the NPI (National Provider Identifier) 1063474559. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeffrey Wayne Autry is physically located?
The Jeffrey Wayne Autry is situated at the following address: 1004 Beamon St., Clinton, NC 283280227.
What is the area of specialization for Jeffrey Wayne Autry, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeffrey Wayne Autry is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Jeffrey Wayne Autry receive the assignment of its 1063474559 from the Centers for Medicare & Medicaid Services?
The Jeffrey Wayne Autry was issued its 1063474559 by the Centers for Medicare & Medicaid Services on 2006-04-03.
As of what date were the details pertaining to Jeffrey Wayne Autry last refreshed?
The information related to the Jeffrey Wayne Autry, including its address, specialty, and other relevant details, was last updated on 2007-11-21.
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