Provider Demographics
NPI:1770458028
Name:HACKNEY, MICHELLE LYNETTE (CPBA, CBS)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LYNETTE
Last Name:HACKNEY
Suffix:
Gender:F
Credentials:CPBA, CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4955 SHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-7408
Mailing Address - Country:US
Mailing Address - Phone:858-568-1265
Mailing Address - Fax:
Practice Address - Street 1:4955 SHERWOOD RD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88012-7408
Practice Address - Country:US
Practice Address - Phone:858-568-1265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula