Provider Demographics
NPI:1942081625
Name:JAYNES, AMBER LEIGH (DC)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:LEIGH
Last Name:JAYNES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 GRAPHIC PL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-1507
Mailing Address - Country:US
Mailing Address - Phone:214-493-7185
Mailing Address - Fax:
Practice Address - Street 1:6220 VIRGINIA PKWY STE 400
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4401
Practice Address - Country:US
Practice Address - Phone:972-542-2277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor