Healthcare Provider Details

I. General information

NPI: 1811399520
Provider Name (Legal Business Name): HALEY PATTON DADD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HALEY A PATTON NP

II. Dates (important events)

Enumeration Date: 09/24/2014
Last Update Date: 12/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 441 HISTORIC HWY N
DEMOREST GA
30535-4523
US

IV. Provider business mailing address

329 MURFREESBORO PIKE
NASHVILLE TN
37210-2834
US

V. Phone/Fax

Practice location:
  • Phone: 706-499-7291
  • Fax: 706-754-0160
Mailing address:
  • Phone: 615-244-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN215782
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPN0000019713
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: