Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Undra L Haggan, NURSEPRACTITIONER

Individual provider Primary Care Nurse Practitioner · NPI 1144785684

Undra L Haggan, NURSEPRACTITIONER is a Nurse Practitioner in Clarksdale, Mississippi. Qualified in 2018, 8 years ago. Practices with Aaron E Henry Community Health, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019

Practice location Address checks out

1202 Desoto Ave
Clarksdale, MS 38614-6937
Phone: (662) 202-1297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1202 Desoto Ave, Clarksdale, MS 38614-6937 — (662) 202-1297

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 903148 (MS)

Record details

NPI number1144785684
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 8, 2019
Last updated in NPPESJune 7, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Aaron E Henry Community Health — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clarksdale