Healthcare Provider Details

I. General information

NPI: 1992257166
Provider Name (Legal Business Name): AMBER JANIELLE HALL CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2016
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 N HAMILTON RD STE 200
GAHANNA OH
43230-1757
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-3069
  • Fax: 614-293-9684
Mailing address:
  • Phone: 614-293-3069
  • Fax: 614-293-9684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN.CNM.019313
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0024175782
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: