Doctor Name: | HALEY LAYMANCE |
NPI Number: | 1013151539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 14131 |
Business Practice Address: | 2497 S Roane St Suite 110 Harriman, TN - 377488670 |
Business Phone Number: | 8658822909 |
Business Fax Number: | 8658822890 |
Mailing Address: | Po Box 368, WARTBURG |
State: | TN |
Postal Code: | 378870368 |
Phone Number: | 4233465566 |
Fax Number: | 4233465631 |
NPI Enumeration Date: | 04/28/2009 |
NPI Last Update Date: | 06/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 14131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |