Individual
MRS. CATHERINE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
23453 CENTRAL DRIVE, SAUCIER, MS 39574-7521
(228) 832-7223
(228) 374-0856
Mailing address
12261 HIGHWAY 49, STE 11, GULFPORT, MS 39503-2976
(228) 374-2494
(228) 374-2713
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R789598
MS
363LF0000X
Family Nurse Practitioner
R789598
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125384
—
MS
Enumeration date
03/08/2006
Last updated
10/07/2016
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