Individual
KATEY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGAC-NP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
706 PARKDALE PL, BRANDON, MS 39042-6609
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
903903
MS
Other
Enumeration date
03/20/2020
Last updated
01/29/2023
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