Healthcare Provider Details

I. General information

NPI: 1942815196
Provider Name (Legal Business Name): HAILEY BATTLE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12020 SHAMROCK PLZ
OMAHA NE
68154-3537
US

IV. Provider business mailing address

PO BOX 331012
JOINT BASE LEWIS MCCHORD WA
98433-0010
US

V. Phone/Fax

Practice location:
  • Phone: 402-258-1268
  • Fax:
Mailing address:
  • Phone: 213-218-6584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2194
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: