Individual
MRS. ANNA FAILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5800
(601) 261-3530
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-6000
(601) 261-3530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903277
MS
363LF0000X
Family Nurse Practitioner
903277
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09604894
—
MS
Enumeration date
05/29/2020
Last updated
07/29/2025
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