CAMILLE FREDERICA HAYNES FNP NPI 1063104065

NPI Information

NPI: 1063104065
Provider Name: CAMILLE FREDERICA HAYNES, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
11250 S HALSTED ST
CHICAGO, IL
ZIP 60628
Phone: (877) 200-7745
Get Directions

Camille Frederica Haynes, FNP is a family nurse practitioner in Chicago, IL. Camille Frederica Haynes, FNP NPI is 1063104065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11250 S HALSTED ST
CHICAGO, IL
ZIP 60628-711
Phone: (877) 200-7745

The enumeration date for this NPI number is 5/25/2023 and was last updated on 5/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209.027235	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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