Healthcare Provider Details

I. General information

NPI: 1144744947
Provider Name (Legal Business Name): SARAH E HAYES PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HOLSTON DR
GREENEVILLE TN
37743-3127
US

IV. Provider business mailing address

PO BOX 4018
JOHNSON CITY TN
37602-4018
US

V. Phone/Fax

Practice location:
  • Phone: 423-639-1104
  • Fax: 423-467-3644
Mailing address:
  • Phone: 423-282-1480
  • Fax: 423-928-1353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number22882
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: