MEDICARE: TIFFANY MICHELLE HALEY DNP, APRN, FNP-C

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	363LF0000X	Family Nurse Practitioner	5022725	NC

General Provider Information

NPI Number	:	1518840255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY MICHELLE HALEY DNP, APRN, FNP-C

Provider Business Mailing Address
First Line	:	159 E DALLAS RD STE B
Second Line	:
City	:	STANLEY
State	:	NC
Zip	:	28164-2052
Country	:	US
Telephone Number	:	980-834-5230
Fax Number	:	980-834-9898

Provider Business Practice Location Address
First Line	:	159 E DALLAS RD STE B
Second Line	:
City	:	STANLEY
State	:	NC
Zip	:	28164-2052
Country	:	US
Telephone Number	:	980-834-5230
Fax Number	:	980-834-9898

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

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/30/2025

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