Individual
ASHLEY NICOLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3444 PLAZA AVE, MEMPHIS, TN 38111-4614
(901) 730-4204
Mailing address
829 MERRYWOOD GLN APT 2, MEMPHIS, TN 38117-5011
(901) 210-3283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3482
TN
363A00000X
Physician Assistant
9112804
FL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q034093
—
TN
Enumeration date
10/09/2017
Last updated
01/30/2020
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