Individual
STEPHANIE LEAH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CCRN
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(662) 523-5000
Mailing address
6108 MOSSY OAK DR E, OCEAN SPRINGS, MS 39564-8807
(662) 660-8981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
903626
MS
163WC0200X
Critical Care Medicine Registered Nurse
MS-903626
MS
207UN0902X
Nuclear Imaging & Therapy Physician
024917
TN
2471C3402X
Radiography Radiologic Technologist
363070
TN
247200000X
Other Technician
S-82650
TN
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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