Individual
JENNIFER CASEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5646
(601) 984-6439
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5646
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R852676
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07805374
—
MS
Enumeration date
04/09/2008
Last updated
03/18/2016
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