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Individual

JENNIFER M HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
16801 CHILLICOTHE RD, CHAGRIN FALLS, OH 44023-4618
(440) 543-7475
(440) 708-1162
Mailing address
16801 CHILLICOTHE RD, CHAGRIN FALLS, OH 44023-4618
(440) 543-7475
(440) 708-1162

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN227358
OH
363LF0000X
Family Nurse Practitioner
Primary
03742-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2830986
OH
Enumeration date
06/19/2008
Last updated
01/05/2016
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