Hailes, Tynisha

Hailes, Tynisha is an individual health care provider with primary practice located at 1190 Filbert Hwy Ste 110 , York SC 29745-9324. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hailes, Tynisha can be contacted via phone (803) 628-0004.

Contact Information

Primary practice address
1190 Filbert Hwy Ste 110 York SC 29745-9324
Phone: (803) 628-0004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5009281 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25326 South Carolina

Profile Details

NPI number 1295273936
LBN Legal business name Hailes, Tynisha
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2017
Last updated Oct 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295273936 NPPES
North Carolina MEDICAID 1295273936

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