Individual
MARKETTA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 BEDFORD WHITE RD, JACKSON, TN 38305-5930
(731) 217-7884
Mailing address
128 BEDFORD WHITE RD, JACKSON, TN 38305-5930
(731) 217-7884
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
00221558
TN
Other
Enumeration date
05/15/2025
Last updated
02/04/2026
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