Individual
MRS. JENNIFER MAY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3138
(540) 982-2719
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704248809
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
0024171228
VA
367500000X
Certified Registered Nurse Anesthetist
4704248809
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079872900
—
DC
05
—
1194151787
—
VA
05
—
603307500
—
MD
Enumeration date
09/16/2013
Last updated
03/17/2014
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