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NPI Code Detail

MEDICARE: MRS. PRISCILLA ANN HALE FNP

MEDICARE: MRS. PRISCILLA ANN HALE FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN77818TN
2363LF0000XFamily Nurse PractitionerAPN6286TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194875179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PRISCILLA ANN HALE FNP
Provider Business Mailing Address
First Line : 207 HIGHWAY 52 BYP W
Second Line :
City : LAFAYETTE
State : TN
Zip : 37083-1728
Country : US
Telephone Number : 615-688-2273
Fax Number : 615-688-2271
Provider Business Practice Location Address
First Line : 207 HIGHWAY 52 BYP W
Second Line :
City : LAFAYETTE
State : TN
Zip : 37083-1728
Country : US
Telephone Number : 615-688-2273
Fax Number : 615-688-2271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 11/28/2007

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