Healthcare Provider Details

I. General information

NPI: 1467650101
Provider Name (Legal Business Name): JENNIFER IMARA HAYES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER IMARA HAYES

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 S CONGRESS AVE
WEST PALM BEACH FL
33406-7608
US

IV. Provider business mailing address

8 TOWN CENTER DR
BOWLING GREEN MO
63334-2803
US

V. Phone/Fax

Practice location:
  • Phone: 561-432-5849
  • Fax:
Mailing address:
  • Phone: 573-324-2241
  • Fax: 573-324-2617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2010003211
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: