Stephen Lloyd Haile, APN | |
119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | |
(423) 282-1480 | |
(423) 928-1353 |
Full Name | Stephen Lloyd Haile |
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Gender | Male |
Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
Location | 119 Boone Ridge Dr, Johnson City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114941291 | NPI | - | NPPES |
3906641 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | APN0000006872 (Tennessee) | Primary |
Entity Name | Southeastern Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
Mailing Address | Practice Location Address |
---|---|
Stephen Lloyd Haile, APN 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 Ph: (423) 282-1480 | Stephen Lloyd Haile, APN 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 Ph: (423) 282-1480 |
Lowell E Miller, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1203 Old Gray Station Rd, Johnson City, TN 37615 Phone: 423-207-1230 | |
Donna C. Fraysier, MSN, ACNS-BC, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 365 Stout Drive, Nicks Hall, Room 160, Johnson City, TN 37614 Phone: 423-439-4225 Fax: 423-439-4560 | |
Carol Jones, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-6831 | |
Franchesca Maria Shoun, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 310 N State Of Franklin Rd, Suite 101, Johnson City, TN 37604 Phone: 423-929-7393 Fax: 423-929-0872 | |
Laura Renee Parsons, APN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353 | |
Lisa D Blevins, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 403 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-7111 Fax: 423-431-7092 |