Haynes, Brandi Michelle

Haynes, Brandi Michelle is an individual health care provider with primary practice located at 229 Hedrick Dr , Newport TN 37821. 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. Haynes, Brandi Michelle can be contacted via phone (423) 623-1057.

Contact Information

Primary practice address
229 Hedrick Dr Newport TN 37821
Phone: (423) 623-1057
Fax: (423) 625-8620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 24962 Tennessee

Profile Details

NPI number 1053895474
LBN Legal business name Haynes, Brandi Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2018
Last updated Nov 16th, 2018 - about 6 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 1053895474 NPPES
Tennessee MEDICAID Q044334

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