Individual
HANNAH JO HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1965 S FREMONT AVE STE 230, SPRINGFIELD, MO 65804-2258
(417) 820-3809
Mailing address
1965 S FREMONT AVE STE 230, SPRINGFIELD, MO 65804-2258
(417) 820-3809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014004470
MO
363LF0000X
Family Nurse Practitioner
Primary
2019003449
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420066277
—
MO
Enumeration date
01/10/2019
Last updated
01/28/2022
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