MEDICARE: SHAWN A HALL

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	163WG0000X	General Practice Registered Nurse	RN9287356	FL

General Provider Information

NPI Number	:	1861341760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN A HALL

Provider Business Mailing Address
First Line	:	164 SW GULLIVER CT
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32643-1113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	164 SW GULLIVER CT
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32643
Country	:	US
Telephone Number	:	813-428-3204
Fax Number	:	813-428-3204

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

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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Directions to “ SHAWN A HALL ” Practice Location

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