Provider Demographics
NPI:1235928755
Name:HAYNES, ANN CHAPMAN (AG-PCNP, MSN, RN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:CHAPMAN
Last Name:HAYNES
Suffix:
Gender:F
Credentials:AG-PCNP, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 DILWORTH RD E
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5210
Mailing Address - Country:US
Mailing Address - Phone:205-705-9442
Mailing Address - Fax:
Practice Address - Street 1:1614 DILWORTH RD E
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5210
Practice Address - Country:US
Practice Address - Phone:205-705-9442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program