Individual
JACQUELINE DEANE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(646) 300-1542
Mailing address
1233 MAIN ST, HOLYOKE, MA 01040-5381
(164) 630-0154
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2307370
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2307370
MA
Other
Enumeration date
08/04/2022
Last updated
10/07/2025
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