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Individual

MRS. LAURIE ANN HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
NAVAL HOSPITAL JACKSONVILLE, 2018 CHILD STREET, JACKSONVILLE, FL 32214-0001
(904) 542-7302
(904) 542-7442
Mailing address
NAVAL HOSPITAL JACKSONVILLE, 2018 CHILD STREET, JACKSONVILLE, FL 32214-0001
(904) 542-7302
(904) 542-7442

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
ARNP9447135
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
NP36958
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019492200
FL
Enumeration date
04/23/2009
Last updated
07/21/2022
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