Individual
JAUVANA HALL-WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 N 35TH AVE STE 300, HOLLYWOOD, FL 33021-5428
(954) 265-1490
Mailing address
1150 N 35TH AVE STE 300, HOLLYWOOD, FL 33021-5428
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11017066
FL
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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