Provider Demographics
NPI:1073286613
Name:WEEKS, HAILEY LYNN (PNPAC)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:LYNN
Last Name:WEEKS
Suffix:
Gender:F
Credentials:PNPAC
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:38 GREEN APPLE
Mailing Address - Street 2:
Mailing Address - City:WARD
Mailing Address - State:AR
Mailing Address - Zip Code:72176-9547
Mailing Address - Country:US
Mailing Address - Phone:810-220-9640
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4699
Practice Address - Country:US
Practice Address - Phone:919-691-2916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50146452080P0202X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology