Individual
MELLISA A HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
108 N MAIN ST, PRINCETON, IN 47670-1540
(812) 753-1039
(812) 753-1122
Mailing address
108 N MAIN ST, PRINCETON, IN 47670-1540
(812) 753-1039
(812) 753-1122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000055A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200080660
—
IN
Enumeration date
06/01/2005
Last updated
02/11/2025
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