Individual
HAYLEY EDMONSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2994 WOODHAVEN CIR, MACON, GA 31204-1241
(478) 508-1959
(478) 508-1959
Mailing address
2994 WOODHAVEN CIR, MACON, GA 31204-1241
(478) 283-8015
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2017035164
GA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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