MEDICARE: HAYDEN JAMES OUSLEY

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1396637419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYDEN JAMES OUSLEY

Provider Business Mailing Address
First Line	:	1300 FORDHAM BLVD APT 202
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-6034
Country	:	US
Telephone Number	:	952-303-9765
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 PHARMACY LN
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-5067
Country	:	US
Telephone Number	:	952-303-9765
Fax Number	:

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

Provider Enumeration Date	:	07/15/2025
Last Update Date	:	07/15/2025

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