Provider Demographics
NPI:1275280513
Name:HOMETOWN HEALTHCARE, PC
Entity Type:Organization
Organization Name:HOMETOWN HEALTHCARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER / OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LYNAE
Authorized Official - Last Name:CHEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:828-835-9571
Mailing Address - Street 1:PO BOX 1020
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-1020
Mailing Address - Country:US
Mailing Address - Phone:828-835-9571
Mailing Address - Fax:828-835-7217
Practice Address - Street 1:163 HWY 64 W STE 4
Practice Address - Street 2:WESTGATE PLAZA
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-7007
Practice Address - Country:US
Practice Address - Phone:828-835-9571
Practice Address - Fax:828-835-7217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty