Individual
CYNTHIA P HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 683-5292
(225) 683-3411
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN043992
LA
363LF0000X
Family Nurse Practitioner
Primary
AP05719
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00488822
—
MS
05
—
1556831
—
LA
Enumeration date
04/13/2009
Last updated
05/22/2012
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