Provider Demographics
NPI:1255647277
Name:WOOD, HALEY JOHNSTON (WHNP)
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:JOHNSTON
Last Name:WOOD
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1909 MALLORY LN
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2830
Mailing Address - Country:US
Mailing Address - Phone:615-771-7718
Mailing Address - Fax:615-772-6889
Practice Address - Street 1:1909 MALLORY LN
Practice Address - Street 2:SUITE 104
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2830
Practice Address - Country:US
Practice Address - Phone:615-771-7718
Practice Address - Fax:615-772-6889
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN4392P363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health