Individual provider · Type 1 NPI
Tajan Calais Hayter, NP
Family Nurse Practitioner · Jacksonville, TX
NPI number
1649805235
Active
Practice location
1013 College Ave
Jacksonville, TX 75766-3307
Fax (903) 284-6830
Mailing address
PO Box 2709
Longview, TX 75606-2709
Other practice locations
- 1505 State Highway 19 S, Athens, TX 75751-8950 · (903) 675-1725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP144175 (TX) |
| Nurse Practitioner | 363L00000X | AP144175 (TX) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1649805235
Tajan Calais Hayter, NP's National Provider Identifier is 1649805235, issued on Mar 4, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, TX. The record was last updated on Apr 15, 2024.