Healthcare Provider Details

I. General information

NPI: 1700506334
Provider Name (Legal Business Name): HAYLEY PARKER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 MICCOSUKEE RD
TALLAHASSEE FL
32308-5054
US

IV. Provider business mailing address

4910 N MONROE ST APT K302
TALLAHASSEE FL
32303-7080
US

V. Phone/Fax

Practice location:
  • Phone: 850-431-1155
  • Fax:
Mailing address:
  • Phone: 850-566-8394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN9600183
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: