Individual
MRS. DONITA LYNN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, APRN
Contact information
Practice address
3525 S NATIONAL AVE STE 207, SPRINGFIELD, MO 65807-7315
(417) 269-9220
(417) 269-9229
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2011001350
MO
363LA2200X
Adult Health Nurse Practitioner
53-75237-102
KS
363LF0000X
Family Nurse Practitioner
2011001350
MO
363LF0000X
Family Nurse Practitioner
5375237102
KS
Other
Enumeration date
10/27/2010
Last updated
08/02/2019
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