Provider Demographics
NPI:1992881684
Name:PYNE, JEFFREY M (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:M
Last Name:PYNE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13805 FERN VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4421
Mailing Address - Country:US
Mailing Address - Phone:501-257-1083
Mailing Address - Fax:501-257-1844
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:SLOT 152/NLR
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:501-257-1083
Practice Address - Fax:501-257-1844
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2014-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-22082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry