Provider Demographics
NPI:1437871787
Name:JANCARIK, HAILEY MARIE (MSN, FNP-BC, RN)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:MARIE
Last Name:JANCARIK
Suffix:
Gender:F
Credentials:MSN, FNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8533 JUDDVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CORUNNA
Mailing Address - State:MI
Mailing Address - Zip Code:48817-9760
Mailing Address - Country:US
Mailing Address - Phone:810-869-5098
Mailing Address - Fax:
Practice Address - Street 1:8533 JUDDVILLE RD
Practice Address - Street 2:
Practice Address - City:CORUNNA
Practice Address - State:MI
Practice Address - Zip Code:48817-9760
Practice Address - Country:US
Practice Address - Phone:810-869-5098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704338413163WC0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine