Individual
CLARISSA ROBERTS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S POST RD, SHELBY, NC 28152-6269
(980) 484-5211
Mailing address
200 S POST RD, SHELBY, NC 28152-6269
(980) 484-5211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005275
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005159
—
NC
Enumeration date
08/26/2011
Last updated
12/16/2016
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