MEDICARE: MRS. HAYLIE NICOLE HALL DNP, APRN

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	363LF0000X	Family Nurse Practitioner	APRN11016314	FL

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

General Provider Information

NPI Number	:	1831847615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HAYLIE NICOLE HALL DNP, APRN

Provider Business Mailing Address
First Line	:	PO BOX 100226
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0226
Country	:	US
Telephone Number	:	352-273-8656
Fax Number	:	352-273-7441

Provider Business Practice Location Address
First Line	:	1549 GALE LEMERAND DR
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-3008
Country	:	US
Telephone Number	:	352-273-8655
Fax Number	:	352-627-4268

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

Provider Enumeration Date	:	03/11/2022
Last Update Date	:	02/21/2023

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