Individual
HALEY ELIZABETH VARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7155 KERR PL, OLIVE BRANCH, MS 38654-1640
(901) 497-6827
Mailing address
4150 SUMMERS PLACE DR, OLIVE BRANCH, MS 38654-7286
(901) 326-2068
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905554
MS
Other
Enumeration date
10/03/2022
Last updated
10/26/2022
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