Provider Demographics
NPI:1669137311
Name:FALKENBERRY, HALEY NOBLES
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:NOBLES
Last Name:FALKENBERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HALEY
Other - Middle Name:E
Other - Last Name:NOBLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:316 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:AL
Mailing Address - Zip Code:36401-3325
Mailing Address - Country:US
Mailing Address - Phone:251-578-2507
Mailing Address - Fax:
Practice Address - Street 1:EVERGREEN FAMILY HEALTH CENTER
Practice Address - Street 2:316 S. MAIN ST
Practice Address - City:EVERGREEN
Practice Address - State:AL
Practice Address - Zip Code:36401-3325
Practice Address - Country:US
Practice Address - Phone:251-578-2507
Practice Address - Fax:251-578-3668
Is Sole Proprietor?:No
Enumeration Date:2021-11-07
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-155342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily