Individual
MS. ANITA CHARLENE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
8990 LORRAINE RD, GULFPORT, MS 39503-4176
(228) 331-3310
Mailing address
8990 LORRAINE RD, GULFPORT, MS 39503-4176
(228) 331-3310
(228) 284-1608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R702439
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R702439
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05250546
—
MS
05
—
891008760
—
AL
Enumeration date
08/16/2006
Last updated
02/21/2023
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