DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. MICHAEL LYNN HALL DNPC APRN FNP PMHNP

MEDICARE: DR. MICHAEL LYNN HALL DNPC APRN FNP PMHNP
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
1363LF0000XFamily Nurse Practitioner23860TN
2363LP0808XPsychiatric/Mental Health Nurse PractitionerNP95017742CA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner23860TN

Other Identifiers

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

General Provider Information

NPI Number : 1609383082
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL LYNN HALL DNPC APRN FNP PMHNP
Provider Business Mailing Address
First Line : 728 N SAMPSON AVE
Second Line :
City : DYERSBURG
State : TN
Zip : 38024-3962
Country : US
Telephone Number : 323-205-7088
Fax Number : 731-207-7611
Provider Business Practice Location Address
First Line : 4633 OLD IRONSIDES DR STE 304
Second Line :
City : SANTA CLARA
State : CA
Zip : 95054-1846
Country : US
Telephone Number : 323-205-7088
Fax Number : 731-207-7611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2018
Last Update Date : 11/05/2025

Similar Medicare Providers

1255460952 — MR. NOAH SETH BONNEVILLE PMHNP-BC
Practice Location Address:
4633 OLD IRONSIDES DR STE 304
SANTA CLARA, CA
95054-1846
Practice Phone: 323-205-7088
Practice Fax:
1124148325 — DANIELLE ALICE WOOLSTENCROFT LMFT
Practice Location Address:
4633 OLD IRONSIDES DR STE 304
SANTA CLARA, CA
95054-1846
Practice Phone: 323-205-7088
Practice Fax:
1346629458 — REBECCA CORNELIUS
Practice Location Address:
4633 OLD IRONSIDES DR STE 304
SANTA CLARA, CA
95054-1846
Practice Phone: 323-205-7088
Practice Fax:
1255883724 — ILIANA RIVERA
Practice Location Address:
4633 OLD IRONSIDES DR STE 304
SANTA CLARA, CA
95054-1846
Practice Phone: 323-205-7088
Practice Fax:
1770049652 — HALEE FULLERTON
Practice Location Address:
4633 OLD IRONSIDES DR STE 304
SANTA CLARA, CA
95054-1846
Practice Phone: 323-205-7088
Practice Fax:
1972138238 — SUD SPECIALTY GROUP - CA
Practice Location Address:
4633 OLD IRONSIDES DR STE 304
SANTA CLARA, CA
95054-1846
Practice Phone: 323-205-7088
Practice Fax: 866-277-9071

Directions to “ DR. MICHAEL LYNN HALL DNPC APRN FNP PMHNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.