Provider Demographics
NPI:1295366763
Name:HALEY, KELSEY DEVIN (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:DEVIN
Last Name:HALEY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 FARM ROAD 195
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75462-2806
Mailing Address - Country:US
Mailing Address - Phone:903-739-7920
Mailing Address - Fax:
Practice Address - Street 1:1800 FARM ROAD 195
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-2806
Practice Address - Country:US
Practice Address - Phone:903-739-7920
Practice Address - Fax:903-739-7925
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144887363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily