Provider Demographics
NPI:1679186431
Name:ECHOLS, HAYLEA LAYNE (DNP, PNP-PC)
Entity Type:Individual
Prefix:
First Name:HAYLEA
Middle Name:LAYNE
Last Name:ECHOLS
Suffix:
Gender:F
Credentials:DNP, PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7675 WOLF RIVER CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1747
Mailing Address - Country:US
Mailing Address - Phone:901-755-8300
Mailing Address - Fax:
Practice Address - Street 1:7675 WOLF RIVER CIR STE 102
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1747
Practice Address - Country:US
Practice Address - Phone:901-755-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-30
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN35898363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program