Individual
TANICIA WASHINGTON HAYNES
Active
Individual
TANICIA WASHINGTON HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
190232
TN
363L00000X
Nurse Practitioner
5007268
NC
363LA2200X
Adult Health Nurse Practitioner
20169
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
20169
TN
363LP2300X
Primary Care Nurse Practitioner
20169
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750782405
—
NC
05
—
NP2999
—
SC
Enumeration date
09/12/2014
Last updated
09/07/2023
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