Clarence D Hayes, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Gluckstadt, MS. Individual provider (NPI-1).
NPI number1194604652
StatusActive
Last updated in NPPESAug 30, 2025
Details
- NPI
- 1194604652
- Entity type
- Individual (NPI-1)
- Name
- Clarence D Hayes
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2025
- Certification date
- Aug 30, 2025
- Last updated
- Aug 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 907722 | MS | Yes |
Practice location
113 First Colony BlvdGluckstadt, MS 39110-6073
Phone 601-807-1624
Mailing address
113 First Colony BlvdGluckstadt, MS 39110-6073
Phone 601-807-1624
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