Individual
JASILIN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 604-6000
Mailing address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
215053
OK
367500000X
Certified Registered Nurse Anesthetist
RN738381
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215053
APRN-CRNA
OK
01
—
R0129703
OK RN LICENSE
OK
01
—
RN738381
PA RN LICENSE
PA
Enumeration date
07/06/2021
Last updated
08/01/2024
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