Individual
MS. AVIS ELAINE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD RN CNM FPNP
Contact information
Practice address
2500 NORTH STATE STREET, WINFRED WISER WOMENS HOSPITAL, JACKSON, MS 39216
(601) 815-7300
(601) 815-7355
Mailing address
2500 N STATE STREET, UNIV OF MS MEDICAL CENTER OB-GYN DEPT, JACKSON, MS 39216
(601) 815-7300
(601) 815-7355
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R537985
MS
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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