Provider Demographics
NPI:1306107727
Name:HAYES, BARBARA JO (FNP)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JO
Last Name:HAYES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:BOBBIE
Other - Middle Name:JO
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:4983 TAYLORSVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28678-9051
Mailing Address - Country:US
Mailing Address - Phone:704-705-1620
Mailing Address - Fax:704-769-9687
Practice Address - Street 1:612 SIGNAL HILL DRIVE EXT
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-4353
Practice Address - Country:US
Practice Address - Phone:980-705-1620
Practice Address - Fax:704-769-9687
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005650363LP0808X
NC2011020653363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily