| Doctor Name: | MRS. MISTY WALKER CAGLE |
| NPI Number: | 1891941241 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | F0708462 |
| Business Practice Address: | 50 Parkway Ln Petal, MS - 394653035 |
| Business Phone Number: | 6017052897 |
| Business Fax Number: | 6015876457 |
| Mailing Address: | 415 S 28th Ave, HATTIESBURG |
| State: | MS |
| Postal Code: | 394017246 |
| Phone Number: | 6015795463 |
| Fax Number: | 6015795240 |
| NPI Enumeration Date: | 08/15/2008 |
| NPI Last Update Date: | 02/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F0708462 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |