Individual
MRS. JENNIFER MORRIS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
847 WAKE FOREST BUSINESS PARK, SUITE 202, WAKE FOREST, NC 27587-6575
(919) 562-9410
(919) 562-2948
Mailing address
847 WAKE FOREST BUSINESS PARK, SUITE 202, WAKE FOREST, NC 27587-6575
(919) 562-9410
(919) 562-2948
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133
NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS STATE LICENSE
NC
01
—
069702556
NATA BOARD OF CERTIFICATION NUMBER
NC
Enumeration date
02/04/2009
Last updated
02/04/2009
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