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NPI Code Detail

MEDICARE: MRS. JANAN ANGEVINE HALL FNP

MEDICARE: MRS. JANAN ANGEVINE HALL 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
1363LF0000XFamily Nurse Practitioner257122TX

General Provider Information

NPI Number : 1992903777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANAN ANGEVINE HALL FNP
Provider Business Mailing Address
First Line : 601 UNIVERSITY DR
Second Line : STUDENT HEALTH CENTER
City : SAN MARCOS
State : TX
Zip : 78666-4684
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 UNIVERSITY DR
Second Line : STUDENT HEALTH CENTER
City : SAN MARCOS
State : TX
Zip : 78666-4684
Country : US
Telephone Number : 512-245-2161
Fax Number : 512-245-3918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 10/11/2013

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