Individual
HALEY MASHEA HERRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
340 NW COMMERCE DR, LAKE CITY, FL 32055-4709
(386) 719-9000
Mailing address
148 SW BRANDY WAY, LAKE CITY, FL 32024-4550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9477310
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11021039
FL
Other
Enumeration date
04/05/2022
Last updated
10/26/2022
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