Male or Other

Mr. Justin R. Hayne PA

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Mr. Justin Robert Hayne PA

NPI Number

1043615347

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/29/2014

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

12583

Contact
Information

Purpose

Mailing
Location

Address

200 1ST ST SW
9826 SAN JOSE BLVD

City

Rochester
Jacksonville

State

MN
FL

Postal Code

55905-0001
32257-5892

Country

US
US

Telephone Number

(507) 284-2511
(904) 262-9444

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

jhayne134912@ehrdirect.mayoclinicmsg.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

200 1st St SWROCHESTER, MN559050001US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/11/2023

Provider Address

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