Individual
ALYSSA ROSE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7799
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A006189
AR
Other
Enumeration date
03/12/2021
Last updated
10/16/2023
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