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General NPI Number Information
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NPI Number | 1659141927
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Entity Type | Individual
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Provider Name | HAYLEY M MINTON MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 709 MED TECH PKWY STE 210
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2643
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Country | US
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Telephone | 423-427-2940
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Fax |
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Provider Business Mailing Address
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Address Line | 709 MED TECH PKWY STE 210
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2643
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Country | US
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Telephone | 423-427-2940
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 35373
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License Number State | TN
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