Healthcare Provider Details

I. General information

NPI: 1598592446
Provider Name (Legal Business Name): HALEY MORGAN BARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 09/16/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 USA HEALTH BLVD
MOBILE AL
36608-0020
US

IV. Provider business mailing address

PO BOX 21595
BELFAST ME
04915-4112
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-8880
  • Fax: 251-663-2817
Mailing address:
  • Phone: 251-300-5941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-151561
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: