Provider Demographics
NPI:1013593755
Name:BLANCHETTE, HALEY HENSEY (APRN)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:HENSEY
Last Name:BLANCHETTE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:MARGERET
Other - Last Name:HENSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 100119
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0119
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2800 NE 14TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-4820
Practice Address - Country:US
Practice Address - Phone:352-873-4739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2080C0008X
FLAPRN11008484363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse Pediatrics