Marketta Haynes
In Home Supportive Care in Jackson, TN. Individual provider (NPI-1).
NPI number1730970070
StatusActive
Last updated in NPPESFeb 4, 2026
Details
- NPI
- 1730970070
- Entity type
- Individual (NPI-1)
- Name
- Marketta Haynes
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2025
- Certification date
- Feb 4, 2026
- Last updated
- Feb 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 376K00000X | Nurse's Aide | 00221558 | TN | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
128 Bedford White RdJackson, TN 38305-5930
Phone 731-217-7884
Mailing address
128 Bedford White RdJackson, TN 38305-5930
Phone 731-217-7884
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