| NPI | 1275224594 |
|---|---|
| Former Name | MAYLEE G HAYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34099) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000245367) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-06-28 |