Individual
HALLEY BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12 COUNTY ROAD 7026, BOONEVILLE, MS 38829-7551
(662) 372-0067
Mailing address
12 COUNTY ROAD 7026, BOONEVILLE, MS 38829-7551
(662) 372-0067
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905418
MS
Other
Enumeration date
04/13/2023
Last updated
04/15/2023
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