Individual
ELLIOTT JOSEPH HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
2400 PATTERSON ST STE 100, NASHVILLE, TN 37203-2385
(615) 342-0038
Mailing address
755 DIXIE LN, PLEASANT VIEW, TN 37146-7946
(615) 480-5132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29294
TN
363LF0000X
Family Nurse Practitioner
29294
TN
Other
Enumeration date
04/06/2021
Last updated
06/17/2021
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