Provider Demographics
NPI:1891279030
Name:MURPHY, HALEY (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 S DUNN ST
Mailing Address - Street 2:
Mailing Address - City:EUPORA
Mailing Address - State:MS
Mailing Address - Zip Code:39744-3083
Mailing Address - Country:US
Mailing Address - Phone:601-630-5454
Mailing Address - Fax:
Practice Address - Street 1:1538 VETERANS MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:EUPORA
Practice Address - State:MS
Practice Address - Zip Code:39744-2001
Practice Address - Country:US
Practice Address - Phone:662-258-7533
Practice Address - Fax:662-258-7534
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902956363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner