Individual
SHALISA D HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP-C
Contact information
Practice address
4545 FULLER DR STE 325, IRVING, TX 75038-6530
(972) 870-5511
Mailing address
4381 W GREEN OAKS BLVD, ARLINGTON, TX 76016-4452
(817) 200-4469
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1135436
TX
363LG0600X
Gerontology Nurse Practitioner
1135436
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1135436
TX
Other
Enumeration date
09/12/2023
Last updated
12/30/2024
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