DESIREE BROOKE HAUGH (NPI# 1275943086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275943086 |
| Entity Type | Individual |
| Full Name | DESIREE BROOKE HAUGH |
| Credential | NP-C |
| Practice Address |
103 Ridgemont Villa Booneville MS 38829-1010 |
| Practice Telephone | 6623683858 |
| Practice Fax Number | 6623683931 |
| Mailing Telephone | 6623683858 |
| Mailing Fax Number | 6623683931 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R881909 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
103 RIDGEMONT VILLA |
| City | BOONEVILLE |
| State | MS |
| Zip Code | 38829-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517347 | Vital Med LLC | Clinic/Center | 103 Ridgemont Villa, Booneville, MS 38829-1010 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1073142600 | Chelsea Cara Mcmillin | Registered Nurse | 2014 C East Chambers Drive, Booneville, MS 38829 | 2020-04-06 |
| 1396210274 | Hooper Transportation LLC | Private Vehicle | 105 Jacinto Heights, No 2, Booneville, MS 38829 | 2018-10-08 |
| 1699251314 | John L Hooper | Driver | 105 Jacinto Heights No 2, Booneville, MS 38829 | 2018-07-16 |
| 1750744389 | Jeni Ramey | Social Worker | 214 Dogwood Estates, Booneville, MS 38829 | 2016-03-31 |
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| 1508253295 | Mary Grace Hancock | Internal Medicine | 202 N 1st St Ste B, Booneville, MS 38829 | 2015-04-20 |
| 1508042722 | Mary Dean Stone | Registered Nurse | 2100 East Chamberss, Booneville, MS 38829 | 2008-01-17 |
| 1144406430 | Amy Cole | Registered Nurse | 2100 East Chambers, Booneville, MS 38829 | 2008-01-16 |
| 1972715118 | Rita D. Jones | Nurse Practitioner | 1907 South Lake Street, Booneville, MS 38829 | 2007-05-03 |
| Find all providers in zip 38829 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530904 | Tina Dulsena Turner | Nurse Practitioner | 90 Belcher Turner Rd, Booneville, KY 41314-9563 | 2020-08-31 |
| 1245738244 | Jason Lloyd Martin | Nurse Practitioner | 100 Hospital St Ste 100, Booneville, MS 38829-3354 | 2018-01-25 |
| 1710386503 | Jessica Neace | Nurse Practitioner | 826 Ky Hwy 11 N, Booneville, KY 41314 | 2014-08-18 |
| 1487909792 | Suzy Elaine Shortt Tucker | Nurse Practitioner | 826 Ky Highway 11 North, Booneville, KY 41314-0730 | 2012-07-24 |
| 1770885121 | Lisa Michelle Sanford | Nurse Practitioner | 618 County Road 5031, Booneville, MS 38829-9410 | 2010-11-17 |
| 1164619144 | Lydia Jackson Lovell | Nurse Practitioner | 2301 E Chambers Dr, Booneville, MS 38829-8903 | 2007-10-03 |
| 1881783447 | Amy Suzanne Benjamin | Nurse Practitioner | 618 Cr 5031, Booneville, MS 38829 | 2006-10-12 |
| 1518959584 | Felesha Dale Perrigo | Nurse Practitioner | 101 Mimosa St, Booneville, MS 38829-2911 | 2005-08-16 |
| 1508401852 | Alana Jean Noel | Nurse Practitioner | 1069 S Sharpe Ave, Booneville, AR 72927-4683 | 2019-11-11 |
| 1649831041 | Anthony Vincent Ciaramitaro | Nurse Practitioner | 871 W Main St, Booneville, AR 72927-3420 | 2019-06-26 |
| Find all providers in BOONEVILLE | ||||
| City | BOONEVILLE |
| Zip Code | 38829 |
Please comment or provide details below to improve the information on DESIREE BROOKE HAUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.