Individual
HALEY KIM FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32283 COUNTY ROAD 323, POPLARVILLE, MS 39470-8417
(228) 697-7713
Mailing address
32283 COUNTY ROAD 323, POPLARVILLE, MS 39470-8417
(228) 697-7713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
908159
MS
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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