Individual
VICTORIA HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 N KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1616
Mailing address
3605 GETTYSBURG PL, JEFFERSON CITY, MO 65109-6888
(573) 645-5385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1160845
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10003001A
INDIANA STATE LICENSE
IN
01
—
1160845
NCCPA
MO
Enumeration date
04/28/2020
Last updated
10/15/2024
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