Individual
MRS. BETH HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2100 EAST CHAMBERS, BOONEVILLE, MS 38829
(662) 728-3174
(662) 286-8095
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-2152
(662) 286-8095
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R855717
MS
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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