Individual
MS. LADONNA JOAN HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MS MN APN CNS PMH
Contact information
Practice address
1605 EAST GRIFFIN PARKWAY, D, MISSION, TX 78572
(956) 583-8815
(956) 583-2436
Mailing address
PO BOX 3060, MISSION, TX 78573
(956) 583-8815
(956) 583-2436
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP106339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029327601
—
TX
Enumeration date
11/13/2006
Last updated
07/18/2018
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