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Individual

HALEY DEROUEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
524 MAIN ST, BAY ST LOUIS, MS 39520-2730
(228) 300-2343
Mailing address
7216 AKIKAI DR, DIAMONDHEAD, MS 39525-3907

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
911050
MS
363L00000X
Nurse Practitioner
Primary
908105
MS

Other

Enumeration date
01/07/2026
Last updated
01/22/2026
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