MEDICARE: HALLE JONASSAINT

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
1	374J00000X	Doula	79442	FL
2	374J00000X	Doula	202308202

General Provider Information

NPI Number	:	1962260885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLE JONASSAINT

Provider Business Mailing Address
First Line	:	2330 SW WILLISTON RD APT 2224
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-3960
Country	:	US
Telephone Number	:	954-849-0529
Fax Number	:

Provider Business Practice Location Address
First Line	:	2330 SW WILLISTON RD APT 2224
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-3960
Country	:	US
Telephone Number	:	954-849-0529
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2024
Last Update Date	:	03/06/2024

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Directions to “ HALLE JONASSAINT ” Practice Location

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