Provider Demographics
NPI:1871261230
Name:MAGEE, HALEY BUTLER (RN)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:BUTLER
Last Name:MAGEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 KEMPEN LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-3401
Mailing Address - Country:US
Mailing Address - Phone:601-613-8153
Mailing Address - Fax:
Practice Address - Street 1:119 KEMPEN LN
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-3401
Practice Address - Country:US
Practice Address - Phone:601-613-8153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program