JENNIFER HASTY
License Number: APRN11014214
Data As Of 6/16/2024
| Profession | Advanced Practice Registered Nurse |
|---|---|
| License | APRN11014214 |
| License Status | DELINQUENT/ |
| Qualifications | Nurse Practitioner |
| License Expiration Date | 4/30/2023 |
| License Original Issue Date | 07/09/2021 |
| Address of Record | 793 Macedonia Road |
| CENTREVILLE, MS 39631 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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