Haley Michelle Collard
Individual provider Active NPI Home Health Registered Nurse · Jefferson, TX
NPI 1366092447 · NPPES record last updated Sep 19, 2019
Key facts
- NPI
- 1366092447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 900663 (TX)
- Practice address
- 120 N Walnut St
Jefferson, TX 75657-1934 - Phone
- (903) 665-6131
- NPI assigned
- Sep 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900663 | TX | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First in Pediatrics Home Health Care, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 900663 | TX | Yes |
Addresses
Primary practice location
120 N Walnut St
Jefferson, TX 75657-1934
Mailing address
PO Box 901
Jefferson, TX 75657-0901
Phone (903) 665-6131
Other providers in Jefferson, TX
- City Drug Jefferson Texas Inc
- Charlotte S Clark
- Alyssa Sloan Cline
- Melissa Loretta Colbert
- Billie Lorraine Coleman
- Core Health Systems
- Ellen Jeanette Coverdell
- Jessica Yvette Crockett
- Cypress Place Assisted Living
- Cypress Place Re 2015, LLC
All providers in Jefferson, TX · Home Health Registered Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.