Provider Demographics
NPI:1174660971
Name:HAYES, CONSTANCE L (DNP, APRNC, FNP-C)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:L
Last Name:HAYES
Suffix:
Gender:F
Credentials:DNP, APRNC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 ASSOCIATES BLVD
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701-1944
Mailing Address - Country:US
Mailing Address - Phone:865-233-7351
Mailing Address - Fax:865-233-7352
Practice Address - Street 1:133 ASSOCIATES BLVD
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-1944
Practice Address - Country:US
Practice Address - Phone:865-233-7351
Practice Address - Fax:865-233-7352
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX449811163WG0000X
OR201504438NP-PP363LF0000X
TN28273363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D5318OtherPROVIDER NO.- UPIN Q45175
TXQ45175Medicare UPIN
TX8D5318OtherPROVIDER NO.- UPIN Q45175