Individual
TAUSHA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
742 JAMES ST, SYRACUSE, NY 13203-2017
(315) 703-2700
Mailing address
742 JAMES ST, SYRACUSE, NY 13203-2017
(315) 703-2700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
643335
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404202
NY
Other
Enumeration date
04/16/2014
Last updated
11/03/2025
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