Individual
MISS JENNIFER IRENE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCBTMB
Contact information
Practice address
2417 SILVERSIDE RD STE 4, WILMINGTON, DE 19810-4531
(302) 463-6043
Mailing address
2417 SILVERSIDE RD STE 4, WILMINGTON, DE 19810-4531
(302) 463-6043
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
0003951
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
07/08/2021
Last updated
07/08/2021
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