Individual
JESSICA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 VADA RD, BAINBRIDGE, GA 39817-8352
(229) 726-6663
Mailing address
1506 VADA RD, BAINBRIDGE, GA 39817-8352
(229) 726-6663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN201137
GA
163W00000X
Registered Nurse
Primary
RN9297629
FL
Other
Enumeration date
01/04/2014
Last updated
01/04/2014
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