Individual
HALEY BRUER FIELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
2104 FIELDSTONE DRIVE, LENOIR CITY, TN 37772
(865) 803-3773
Mailing address
2104 FIELDSTONE DRIVE, LENOIR CITY, TN 37772
(865) 803-3773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008096
VA
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1179422
NCCPA ID
—
Enumeration date
09/01/2021
Last updated
01/21/2025
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