Individual
DR. JENNIFER ELIZABETH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 773-0003
(928) 773-1170
Mailing address
PO BOX 967, FLAGSTAFF, AZ 86002-0967
(928) 773-0003
(928) 773-1170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102201668
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
007219
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OC-0401
ID
207RP1001X
Pulmonary Disease Physician
007219
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259746
—
AZ
Enumeration date
11/22/2006
Last updated
10/09/2025
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