Provider Demographics
NPI:1538893631
Name:MCKINNEY, HAYLEY NICOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:NICOLE
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 BUSTERS RUN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-7606
Mailing Address - Country:US
Mailing Address - Phone:423-413-2527
Mailing Address - Fax:
Practice Address - Street 1:6951 LEE HWY
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2447
Practice Address - Country:US
Practice Address - Phone:423-855-3072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46562183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist