Provider Demographics
NPI:1366878175
Name:KIRSCHNER, HALEY JANE (RN)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:JANE
Last Name:KIRSCHNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8241
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72145-8241
Mailing Address - Country:US
Mailing Address - Phone:866-729-4479
Mailing Address - Fax:501-729-3537
Practice Address - Street 1:120 MEGHAN LN
Practice Address - Street 2:
Practice Address - City:JUDSONIA
Practice Address - State:AR
Practice Address - Zip Code:72081-9302
Practice Address - Country:US
Practice Address - Phone:866-729-4479
Practice Address - Fax:501-729-3537
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX805901163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX805901OtherREGISTERED NURSE LICENSE NUMBER