Individual
MS. JILL K HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-7049
(314) 344-7073
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-7049
(314) 344-7073
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2003017892
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
05/23/2007
Last updated
07/08/2007
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