MEDICARE: JANE RENEE HULL MD

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
1	208000000X	Pediatrics Physician	0101054233	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376586131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE RENEE HULL MD

Provider Business Mailing Address
First Line	:	PO BOX 9007
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22906-9007
Country	:	US
Telephone Number	:	434-295-1000
Fax Number	:	434-972-4266

Provider Business Practice Location Address
First Line	:	16244 BENNETT RD
Second Line	:
City	:	CULPEPER
State	:	VA
Zip	:	22701-4630
Country	:	US
Telephone Number	:	540-825-5381
Fax Number	:	540-829-0945

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	03/27/2023

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