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TANICIA WASHINGTON HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5866
(615) 322-3000
(704) 355-5180
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-3000

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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