Individual
JOHN VINCENT HALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
64167 HIGHWAY 41 STE C, PEARL RIVER, LA 70452-3638
(985) 250-9700
(844) 899-5208
Mailing address
1301 S SHIVERS ST, POPLARVILLE, MS 39470-3225
(601) 270-0038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08096
LA
363LF0000X
Family Nurse Practitioner
R889798
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2409964
—
LA
Enumeration date
08/06/2014
Last updated
09/09/2021
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