Individual
HALEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
297 COUNTY ROAD 244, ETTA, MS 38627-9523
(662) 281-9992
Mailing address
202 ROBBINS DR, NEW ALBANY, MS 38652-3229
(662) 587-3766
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
905803
MS
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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