Healthcare Provider Details

I. General information

NPI: 1265835524
Provider Name (Legal Business Name): MONICA HALL DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12385 SORRENTO RD STE B3
PENSACOLA FL
32507-8656
US

IV. Provider business mailing address

12385 SORRENTO RD STE B3
PENSACOLA FL
32507-8656
US

V. Phone/Fax

Practice location:
  • Phone: 850-602-0828
  • Fax:
Mailing address:
  • Phone: 850-602-0828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN195089
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11048821
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: