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NPI Code Detail

MEDICARE: GLORIA ANN HALL NP-C

MEDICARE:   GLORIA ANN HALL  NP-C
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
1363LP2300XPrimary Care Nurse Practitioner1-069714AL

General Provider Information

NPI Number : 1588915664
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA ANN HALL NP-C
Provider Business Mailing Address
First Line : 1450 JONES DAIRY RD
Second Line : BLDG 700
City : JASPER
State : AL
Zip : 35501-6106
Country : US
Telephone Number : 205-295-4200
Fax Number : 205-295-4201
Provider Business Practice Location Address
First Line : 1450 JONES DAIRY RD
Second Line : BLDG 700
City : JASPER
State : AL
Zip : 35501-6106
Country : US
Telephone Number : 205-295-4200
Fax Number : 205-295-4201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2012
Last Update Date : 09/28/2012

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Directions to “ GLORIA ANN HALL NP-C” Practice Location

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