Jennifer B Haynes (NPI# 1235304023, PAC ID# 3072692466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235304023 |
| PAC ID by PECOS | 3072692466 |
| Professional Enrollment ID | I20110316000389 |
| Full Name | Jennifer B Haynes |
| Organization Legal Name | LITTLE RIVER MEDICAL CENTER INC |
| Address |
3817 Main St Loris SC 29569-3017 |
| Phone Number | 8436638000 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961309315 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3817 Main St, Loris, SC 29569-3017 | 8436638000 | LITTLE RIVER MEDICAL CENTER INC |
| 1075 Mr Joe White Ave, Unit 101, Myrtle Beach, SC 29577-5658 | 8436638000 | LITTLE RIVER MEDICAL CENTER INC |
| 3236 Holmestown Rd, Unit E1, Myrtle Beach, SC 29588-7495 | 8436638000 | LITTLE RIVER MEDICAL CENTER INC |
| 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579-4220 | 8436638000 | LITTLE RIVER MEDICAL CENTER INC |
| 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 8436638000 | LITTLE RIVER MEDICAL CENTER INC |
| Organization Legal Name | LITTLE RIVER MEDICAL CENTER INC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eunice Luz Guzman | Internal Medicine | Little River Medical Center Inc | 4303 Live Oak Dr, Little River, SC 29566-9138 |
| Luis D Insignares | Family Medicine | Little River Medical Center Inc | 3817 Main St, Loris, SC 29569-3017 |
| Peggy Bourguillon | Family Medicine | Little River Medical Center Inc | 4303 Live Oak Dr, Little River, SC 29566-9138 |
| Regina R Evans | Obstetrics/gynecology | Little River Medical Center Inc | 4303 Live Oak Dr, Little River, SC 29566-9138 |
| Tina M Doud Kearns | Nurse Practitioner | Little River Medical Center Inc | 4303 Live Oak Dr, Little River, SC 29566-9138 |
| William J Oconnor | Internal Medicine | Little River Medical Center Inc | 4303 Live Oak Dr, Little River, SC 29566-9138 |
| Paul Cohen | Internal Medicine | Little River Medical Center Inc | 4303 Live Oak Dr, Little River, SC 29566-9138 |
| Jerry A Camisa | Nurse Practitioner | Little River Medical Center Inc | 4303 Live Oak Dr, Little River, SC 29566-9138 |
| Dan M Kass | Internal Medicine | Little River Medical Center Inc | 4303 Live Oak Dr, Little River, SC 29566-9138 |
| Angela D Woods | Nurse Practitioner | Little River Medical Center Inc | 4303 Live Oak Dr, Little River, SC 29566-9138 |
| Street Address |
3817 MAIN ST |
| City | LORIS |
| State | SC |
| Zip | 29569-3017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis D Insignares | Family Medicine | Little River Medical Center Inc | 3817 Main St, Loris, SC 29569-3017 |
| Bernice F Lim | Family Medicine | Little River Medical Center Inc | 3817 Main St, Loris, SC 29569-3017 |
| Beverly Wilson | Nurse Practitioner | Little River Medical Center Inc | 3817 Main St, Loris, SC 29569-3017 |
| Christine M Mcginley | Family Medicine | Little River Medical Center Inc | 3817 Main St, Loris, SC 29569-3017 |
| Janice M Moore | Nurse Practitioner | Little River Medical Center Inc | 3817 Main St, Loris, SC 29569-3017 |
| Romeo T Nillas | Internal Medicine | Little River Medical Center Inc | 3817 Main St, Loris, SC 29569-3017 |
| Linda S Buster | Nurse Practitioner | Little River Medical Center Inc | 3817 Main St, Loris, SC 29569-3017 |
| Raymond A Reiser | Pediatric Medicine | Little River Medical Center Inc | 3817 Main St, Loris, SC 29569-3017 |
| Brandy P P Van Heyde | Nurse Practitioner | Little River Medical Center Inc | 3817 Main St, Loris, SC 29569-3017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Z Touloukian | Hematology/oncology | Associated Medical Specialists Pa | 3008 Bayboro St, Loris, SC 29569-2714 |
| Angela M Brinegar | Nurse Practitioner | Associated Medical Specialists Pa | 3008 Bayboro St, Loris, SC 29569-2714 |
| Wanda W Grainger | Nurse Practitioner | Mcleod Physician Associates II | 3109 Casey St, Suite B, Loris, SC 29569-2807 |
| Gary J Barrett | Internal Medicine | Mcleod Physician Associates II | 3109 Casey St, Loris, SC 29569-2807 |
| Marshall Scott Wise | Family Medicine | Southern Living Emergency Physicians LLC | 3655 Mitchell St, Loris, SC 29569-2827 |
| Wilma I Rabon | Certified Registered Nurse Anesthetist (crna) | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Alexander C Logan | Pathology | Palmetto Pathology Pa | 3655 Mitchell St, Loris, SC 29569-2827 |
| Joann Hannah | Certified Registered Nurse Anesthetist (crna) | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Joseph Szulewski | Internal Medicine | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Tammy D Moraska | Certified Registered Nurse Anesthetist (crna) | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Find all physicians in zip 29569 | |||
| City | LORIS |
| Zip Code | 29569 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LORIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer B Haynes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.