MEDICARE: MRS. WHITNEY PAIGE HALEY AGACNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	19202	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053713685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WHITNEY PAIGE HALEY AGACNP-BC

Provider Business Mailing Address
First Line	:	4230 HARDING PIKE STE 503
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2098
Country	:	US
Telephone Number	:	615-964-5864
Fax Number	:	615-269-7359

Provider Business Practice Location Address
First Line	:	4230 HARDING PIKE STE 503
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2098
Country	:	US
Telephone Number	:	159-645-8646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2014
Last Update Date	:	08/16/2024

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