Individual
JACKI HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2200
(304) 473-2000
Mailing address
111 EDGEWOOD DR, WESTON, WV 26452-8541
(304) 476-4030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
122664
WV
363LF0000X
Family Nurse Practitioner
Primary
122664
WV
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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