Provider Demographics
NPI:1891363925
Name:NEWTON, HAILEY JORDAN (APRN)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:JORDAN
Last Name:NEWTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 S WALDRON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-2590
Mailing Address - Country:US
Mailing Address - Phone:479-396-4082
Mailing Address - Fax:479-461-4200
Practice Address - Street 1:1401 S WALDRON RD STE 201
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-2590
Practice Address - Country:US
Practice Address - Phone:479-396-4082
Practice Address - Fax:479-431-4200
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR215232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily