Individual
MRS. HALEY MICHELLE CHATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
1410 LISA LN, TERRY, MS 39170-8558
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907602
MS
Other
Enumeration date
09/26/2025
Last updated
10/24/2025
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