Individual
LACEY JEAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
501 N OLD WILDERNESS RD, NIXA, MO 65714-9490
(417) 269-2227
(417) 269-2235
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020019754
MO
Other
Enumeration date
07/19/2020
Last updated
08/12/2024
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