=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972477610
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HAYLEE HATCH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2025
-----------------------------------------------------
Last Update Date | 01/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1255 HIGHWAY 327 E
-----------------------------------------------------
City | SILSBEE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77656-6007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-813-1677
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3406 COLLEGE ST STE 200
-----------------------------------------------------
City | BEAUMONT
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77701-4612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-813-1677
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1219689
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------