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NPI Code Detail

MEDICARE: MRS. MEREDITH DUNCAN HAYLES FNP-BC

MEDICARE:  MRS. MEREDITH DUNCAN HAYLES  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR857559MS

General Provider Information

NPI Number : 1821220674
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEREDITH DUNCAN HAYLES FNP-BC
Provider Business Mailing Address
First Line : 965 RIDGE LAKE BLVD STE 315
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-9401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 HIGHWAY 49 S STE 1
Second Line :
City : RICHLAND
State : MS
Zip : 39218-9438
Country : US
Telephone Number : 601-973-1576
Fax Number : 601-664-0055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2009
Last Update Date : 06/20/2022

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Directions to “ MRS. MEREDITH DUNCAN HAYLES FNP-BC” Practice Location

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