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Individual

MISS HAILEY BROOKE WEAVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4800 E JOHNSON AVE, JONESBORO, AR 72405-8413
(870) 936-1000
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8899
(573) 341-5611

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2025032061
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
226452
AR

Other

Enumeration date
10/31/2023
Last updated
10/03/2025
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