Provider Demographics
NPI:1568984698
Name:RULEMAN, HALEY MOORE (RN-MSN, PNP)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:MOORE
Last Name:RULEMAN
Suffix:
Gender:F
Credentials:RN-MSN, PNP
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:JOYCE
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:773 ESTATE PL
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-0600
Mailing Address - Country:US
Mailing Address - Phone:901-681-4040
Mailing Address - Fax:
Practice Address - Street 1:773 ESTATE PL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-0600
Practice Address - Country:US
Practice Address - Phone:901-681-4040
Practice Address - Fax:901-681-4052
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000022715363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics