Individual
CAITLYN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 FREDERICK AVE, SAINT JOSEPH, MO 64506-2914
(816) 387-2300
Mailing address
3505 FREDERICK AVE, SAINT JOSEPH, MO 64506-2914
(816) 387-2300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2019036570
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2026003641
MO
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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