Provider Demographics
NPI:1750954848
Name:FLETCHER, HAYLEY HAWKINS (FNP-BC)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:HAWKINS
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:HAWKINS
Other - Last Name:ROLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9270 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-3354
Mailing Address - Country:US
Mailing Address - Phone:703-822-3070
Mailing Address - Fax:
Practice Address - Street 1:6160 KEMPSVILLE CIR STE 325A
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3933
Practice Address - Country:US
Practice Address - Phone:757-354-2885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001239287163W00000X
VA0024182080363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse