Individual
JULIE ANN GARRARD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5501 W BETHEL AVE, MUNCIE, IN 47304-8513
(765) 741-2957
(765) 747-3310
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001321A
IN
363LF0000X
Family Nurse Practitioner
Primary
71001321A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200374670
—
IN
05
—
2488982
—
OH
01
—
M122404065
MEDICARE PTAN
IN
01
—
P02685396
RAILROAD PTAN
IN
Enumeration date
08/18/2005
Last updated
02/22/2024
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