Individual
HAYLEY DEANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2601 LAKE DR STE 201, RALEIGH, NC 27607-6689
(919) 783-4888
(919) 783-4887
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 782-1806
(919) 782-4756
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG01220093
NC
Other
Enumeration date
01/25/2022
Last updated
05/13/2022
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