Provider Demographics
NPI:1710506076
Name:STILES, HALEY JOY
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:JOY
Last Name:STILES
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:HALEY
Other - Middle Name:JOY
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1311 SULA DR
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-1570
Mailing Address - Country:US
Mailing Address - Phone:615-556-5059
Mailing Address - Fax:
Practice Address - Street 1:1900 BELMONT BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3757
Practice Address - Country:US
Practice Address - Phone:615-556-5059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program