Kristy Michelle Hayes

Individual provider Active NPI Community Health Registered Nurse · Henderson, TN

NPI 1962012856 · NPPES record last updated Aug 5, 2020

Key facts

NPI
1962012856
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
0000203289 (TN)
Practice address
301 Quinco Dr
Henderson, TN 38340-1705
Phone
(731) 989-7108
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0000203289TNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 0000203289 TN Yes

Addresses

Primary practice location

301 Quinco Dr
Henderson, TN 38340-1705

Mailing address

301 Quinco Dr
Henderson, TN 38340-1705
Phone (731) 989-7108

Other providers in Henderson, TN

All providers in Henderson, TN · Community Health Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.