Healthcare Provider Details

I. General information

NPI: 1205685989
Provider Name (Legal Business Name): HAILEY ELIZABETH MCGEHEE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 S CAPITOL ST
MANY LA
71449-3049
US

IV. Provider business mailing address

231 WINDERMERE BLVD
ALEXANDRIA LA
71303-3538
US

V. Phone/Fax

Practice location:
  • Phone: 318-256-5691
  • Fax: 318-256-7553
Mailing address:
  • Phone: 318-487-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number235284
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: