Most Relevant Information
Provider Data
| NPI Number: | 1003526153 |
| Provider Name: | CARLEY ANN JAYNES |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1099821 |
Most Important Dates
| Enumeration Date: | 11/30/2022 |
| Last Updated: | 12/27/2022 |
Provider Practice Location
755 N 11TH ST STE P3950
BEAUMONT
TX
777021527
Practice Location Phone/Fax
| Phone: | 4098920099 |
| Fax: |
Provider Mailing Location
135 CANVASBACK CT
ORANGE
TX
776307268
Provider Mailing Phone/Fax
| Phone: | 4097915350 |
| Fax: |