Healthcare Provider Details

I. General information

NPI: 1689418774
Provider Name (Legal Business Name): HAYLEY MICHELLE MITCHELL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ARTHUR DR
THOMASVILLE NC
27360-6200
US

IV. Provider business mailing address

200 ARTHUR DR
THOMASVILLE NC
27360-6200
US

V. Phone/Fax

Practice location:
  • Phone: 337-475-2348
  • Fax:
Mailing address:
  • Phone: 336-475-2348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06251542
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number330098
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: