Provider Demographics
NPI:1467133074
Name:LUCIUS, HAILEY MORGAN (DNP)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:MORGAN
Last Name:LUCIUS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:MORGAN
Other - Last Name:CROWDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:909 S 59TH STREET
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450
Mailing Address - Country:US
Mailing Address - Phone:501-270-2426
Mailing Address - Fax:
Practice Address - Street 1:2524 ALEXANDER DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401
Practice Address - Country:US
Practice Address - Phone:888-445-8745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR125795363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily