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LEMUEL PETER HAYNES JR. FNP
NPI 1790568426
Nurse Practitioner - Family in Stockton, CA

Active since August 16, 2023
582 E HARDING WAY, STOCKTON, CA 95204(888) 530-4415 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lemuel Peter Haynes Jr. Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEMUEL PETER HAYNES JR. FNP (NPI 1790568426) is an individual family provider in Stockton, California, licensed in California (95026304) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1790568426
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLEMUEL PETER HAYNES JR.Credential: FNP
Location Address582 E HARDING WAYStockton, CA 95204-6110
Mailing Address582 E Harding WayStockton, CA 95204-6110 · (888) 530-4415
Phone(888) 530-4415
Sole ProprietorYes
Enumeration DateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
✔ NPI 1790568426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95026304
582 E HARDING WAY, Stockton, CA 95204
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAGDISH SINGH NIJJAR FNP-C
Nurse Practitioner
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (844) 226-9193
MAYA JUSTINA-ELIA RAMIREZ MSW
Social Worker (Clinical)
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (209) 226-3325
ROSALIA RAVELO OTR
Occupational Therapist
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (888) 530-4415
MRS. JAMIE MARINA FLORES LCSW
Social Worker (Clinical)
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (209) 932-0357
ALYSSA ABREU PHD, RD
Dietitian, Registered
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (209) 326-0713
MARSHE IVY NP
Nurse Practitioner (Family)
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (209) 442-6077
SAJJAD BIDAR
Physician Assistant
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (925) 325-2028
ADRIENNE DOROTHY KANE PA
Physician Assistant
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (888) 530-4415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lemuel Haynes's NPI number?

The NPI number for Lemuel Haynes is 1790568426. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Lemuel Haynes located?

Lemuel Haynes practices at 582 E Harding Way, Stockton, CA 95204. The listed phone number is (888) 530-4415.

What is Lemuel Haynes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lemuel Haynes was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.