Provider Demographics
NPI:1205643269
Name:HAMPTON, HAILEY NICOLE
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:NICOLE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 4TH PL NW
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:AL
Mailing Address - Zip Code:35215-6112
Mailing Address - Country:US
Mailing Address - Phone:615-260-2805
Mailing Address - Fax:
Practice Address - Street 1:1424 4TH PL NW
Practice Address - Street 2:
Practice Address - City:CENTER POINT
Practice Address - State:AL
Practice Address - Zip Code:35215-6112
Practice Address - Country:US
Practice Address - Phone:615-260-2805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALM7G6G8K9163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant