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NPI Code Detail

MEDICARE: MS. SHEREKIA LAJUAN HALES NP

MEDICARE: MS. SHEREKIA LAJUAN HALES NP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerNP282470GA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11000068FL
3363LF0000XFamily Nurse PractitionerAPRN11000068FL

General Provider Information

NPI Number : 1124590047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHEREKIA LAJUAN HALES NP
Provider Business Mailing Address
First Line : 7500 RIALTO BLVD STE 1-140
Second Line :
City : AUSTIN
State : TX
Zip : 78735-8534
Country : US
Telephone Number : 512-730-3056
Fax Number : 888-730-1925
Provider Business Practice Location Address
First Line : 7500 RIALTO BLVD STE 1-140
Second Line :
City : AUSTIN
State : TX
Zip : 78735-8534
Country : US
Telephone Number : 512-730-3056
Fax Number : 888-730-1925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2018
Last Update Date : 01/16/2026

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