Provider Demographics
NPI:1487622783
Name:BYRNES, NANCY JEAN (APRN-BC)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JEAN
Last Name:BYRNES
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 SUGAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-5565
Mailing Address - Country:US
Mailing Address - Phone:828-652-8727
Mailing Address - Fax:828-652-1301
Practice Address - Street 1:1860 SUGAR HILL RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-5565
Practice Address - Country:US
Practice Address - Phone:828-652-8727
Practice Address - Fax:828-652-1301
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201366363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC185212OtherMEDCOST ID #
NC2805173AMedicare ID - Type UnspecifiedMEDICARE ID #
NCP47367Medicare UPIN