Individual provider · Type 1 NPI

Shirley Lynn Haynes, PA-C

Physician Assistant · St. Louis, MO

NPI number 1225003551 Active

Practice location

12647 Olive Blvd, Suite 600
St. Louis, MO 63141-6345

Fax (877) 685-9866

Mailing address

91-1001 Hokuimo St
Kapolei, HI 96707-3078

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA00545 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1225003551

Shirley Lynn Haynes, PA-C's National Provider Identifier is 1225003551, issued on Feb 21, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.