| Doctor Name: | HEATHER M JAYNES |
| NPI Number: | 1134312747 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNNP |
| License Number: | R1533356 |
| Business Practice Address: | 347 North Smith Avenue Childrens Specialty Clinic Nicu St. Paul, MN - 55102 |
| Business Phone Number: | 6512206210 |
| Business Fax Number: | 6512207777 |
| Mailing Address: | 2910 Centre Pointe Dr, Mail Stop 35-121a ROSEVILLE |
| State: | MN |
| Postal Code: | 551131182 |
| Phone Number: | 6518552327 |
| Fax Number: | 6518552310 |
| NPI Enumeration Date: | 08/27/2007 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0005X |
| License Number: | R1533356 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal, Critical Care |
| Taxonomy Definition: | |