Healthcare Provider Details

I. General information

NPI: 1376586131
Provider Name (Legal Business Name): JANE RENEE HULL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16244 BENNETT RD
CULPEPER VA
22701-4630
US

IV. Provider business mailing address

PO BOX 9007
CHARLOTTESVILLE VA
22906-9007
US

V. Phone/Fax

Practice location:
  • Phone: 540-825-5381
  • Fax: 540-829-0945
Mailing address:
  • Phone: 434-295-1000
  • Fax: 434-972-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101054233
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: