Individual
CHARLAYSHA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2300 24TH AVE, GULFPORT, MS 39501-4605
(228) 206-6500
Mailing address
2300 24TH AVE, GULFPORT, MS 39501-4605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903200
MS
Other
Enumeration date
08/23/2019
Last updated
12/10/2024
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