Individual
JENNIFER OVERBY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1307 AVON ST, FAYETTEVILLE, NC 28304-4423
(910) 323-1718
(910) 323-3834
Mailing address
1307 AVON ST, FAYETTEVILLE, NC 28304-4423
(910) 323-1718
(910) 323-3834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04823
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-04823
NC STATE LICENSE
NC
Enumeration date
04/03/2014
Last updated
11/20/2014
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