Individual provider · Type 1 NPI
Undra L. Haggan, NURSE PRACTITIONER
Primary Care Nurse Practitioner · Clarksdale, MS
NPI number
1144785684
Active
Practice location
1202 Desoto Ave
Clarksdale, MS 38614-6937
Mailing address
619 S State St
Clarksdale, MS 38614-6319
Other practice locations
- 1202 Desoto Ave, Clarksdale, MS 38614-6937 · (662) 202-1297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 903148 (MS) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Clarksdale
About NPI 1144785684
Undra L. Haggan, NURSE PRACTITIONER's National Provider Identifier is 1144785684, issued on Feb 8, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Clarksdale, MS. The record was last updated on Jun 7, 2019.