Provider Demographics
NPI:1942033782
Name:VENT, HAILEY CHERREE
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:CHERREE
Last Name:VENT
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 1:316 HEMPSTEAD 148
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-1017
Mailing Address - Country:US
Mailing Address - Phone:870-602-1438
Mailing Address - Fax:
Practice Address - Street 1:316 HEMPSTEAD 148
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-1017
Practice Address - Country:US
Practice Address - Phone:870-602-1438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service