Provider Demographics
NPI:1922115401
Name:HAYS, ANGELA ANN (CFNP)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:ANN
Last Name:HAYS
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 W. CHERRY ST.
Mailing Address - Street 2:P.O. BOX 1039
Mailing Address - City:ACKERMAN
Mailing Address - State:MS
Mailing Address - Zip Code:39735
Mailing Address - Country:US
Mailing Address - Phone:662-285-2842
Mailing Address - Fax:662-285-3230
Practice Address - Street 1:148 W. CHERRY ST.
Practice Address - Street 2:
Practice Address - City:ACKERMAN
Practice Address - State:MS
Practice Address - Zip Code:39735
Practice Address - Country:US
Practice Address - Phone:662-285-2842
Practice Address - Fax:662-285-3230
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR621676363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00112735Medicaid
S41622Medicare UPIN
MS00112735Medicaid