NPI | 1851502009 |
---|---|
Former Name | TERRIE B HAYNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000012936) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000055927) |
Enumeration Date | 2007-05-26 |
Last Update Date | 2023-07-18 |