Provider Demographics
NPI:1831702570
Name:HAILEY, NATHAN DEAN (PA-C)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:DEAN
Last Name:HAILEY
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2801 CHARLOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4035
Mailing Address - Country:US
Mailing Address - Phone:615-250-9200
Mailing Address - Fax:615-250-9215
Practice Address - Street 1:4230 HARDING PIKE STE 301
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2098
Practice Address - Country:US
Practice Address - Phone:615-250-9395
Practice Address - Fax:615-321-8796
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2024-05-13
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Provider Licenses
StateLicense IDTaxonomies
TN5670363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant