Doctor Name: | MRS. PATRICIA LORENE HAILEY |
NPI Number: | 1144496233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | A02983 |
Business Practice Address: | 27 County Road 950 Brookland, AR - 724178687 |
Business Phone Number: | 8703355491 |
Business Fax Number: | 8709310088 |
Mailing Address: | 27 County Road 950, BROOKLAND |
State: | AR |
Postal Code: | 724178687 |
Phone Number: | 8703355491 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2008 |
NPI Last Update Date: | 12/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A02983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |