Individual
SHANTA NICOLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 TYLERTOWN AVE, BARTLETT, TN 38134-3361
(901) 574-7992
Mailing address
5621 TYLERTOWN AVE, BARTLETT, TN 38134-3361
(901) 574-7992
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.033914
IL
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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