Provider Demographics
NPI:1467062604
Name:YIN, HAOXIN (RN, MSN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:HAOXIN
Middle Name:
Last Name:YIN
Suffix:
Gender:F
Credentials:RN, MSN, PMHNP-BC
Other - Prefix:
Other - First Name:ELY
Other - Middle Name:
Other - Last Name:YIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, MSN, PMHNP-BC
Mailing Address - Street 1:PO BOX 680964
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-0964
Mailing Address - Country:US
Mailing Address - Phone:615-601-4379
Mailing Address - Fax:
Practice Address - Street 1:5203 MARYLAND WAY STE 100
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5022
Practice Address - Country:US
Practice Address - Phone:901-682-6136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN240656163W00000X
TN28676363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse