Individual provider · Type 1 NPI
Camille Frederica Haynes, FNP
Family Nurse Practitioner · Chicago, IL
NPI number
1063104065
Active
Practice location
11250 S Halsted St
Chicago, IL 60628-4711
Mailing address
10210 S Trumbull Ave
Evergreen Park, IL 60805-3732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.027235 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063104065
Camille Frederica Haynes, FNP's National Provider Identifier is 1063104065, issued on May 25, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on May 25, 2023.