Healthcare Provider Details

I. General information

NPI: 1417877879
Provider Name (Legal Business Name): WHITNEY NICOLE HALL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1243 OLDE LEXINGTON RD
HOSCHTON GA
30548-3724
US

IV. Provider business mailing address

1243 OLDE LEXINGTON RD
HOSCHTON GA
30548-3724
US

V. Phone/Fax

Practice location:
  • Phone: 678-525-1257
  • Fax:
Mailing address:
  • Phone: 678-525-1257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP312888
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: