Hayes, Andrea Kelley Gore

Hayes, Andrea Kelley Gore is an individual health care provider with primary practice located at 108 W Blackwell St , Tullahoma TN 37388-3505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hayes, Andrea Kelley Gore can be contacted via phone (931) 841-3821.

Contact Information

Primary practice address
108 W Blackwell St Tullahoma TN 37388-3505
Phone: (931) 841-3821
Fax: (931) 841-3869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN8403 Tennessee

Profile Details

NPI number 1295819175
LBN Legal business name Hayes, Andrea Kelley Gore
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Feb 29th, 2024 - about 9 months 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 1295819175 NPPES
Tennessee Other 1031057933 MEDICARE
Tennessee MEDICAID 1510617 MEDICARE

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