Individual
HALEY HENARD DEBUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
424 N. BROAD STREET, NEW TAZWELL, TAZEWELL, TN 37825
(423) 257-5700
(865) 374-2200
Mailing address
424 N. BROAD STREET, NEW TAZWELL, TAZEWELL, TN 37825
(423) 257-5700
(865) 374-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q024690
—
TN
Enumeration date
08/18/2016
Last updated
06/29/2020
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