Hyder, Sally Ann

Hyder, Sally Ann is an individual health care provider with primary practice located at 403 N State Of Franklin Rd , Johnson City TN 37604-6034. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hyder, Sally Ann can be contacted via phone (423) 431-7047.

Contact Information

Primary practice address
403 N State Of Franklin Rd Johnson City TN 37604-6034
Phone: (423) 431-7047
Fax: (423) 979-0569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN0000005082 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5082 Tennessee

Profile Details

NPI number 1629304340
LBN Legal business name Hyder, Sally Ann
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2009
Last updated Feb 10th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629304340 NPPES
Tennessee MEDICAID 1517566

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