Provider Demographics
NPI:1659141927
Name:MINTON, HAYLEY M (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:M
Last Name:MINTON
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 MED TECH PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2643
Mailing Address - Country:US
Mailing Address - Phone:423-427-2940
Mailing Address - Fax:
Practice Address - Street 1:709 MED TECH PKWY STE 210
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2643
Practice Address - Country:US
Practice Address - Phone:423-427-2940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35373363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner